ZONARE z.one ultra and z.
ZONARE, the ZONARE logo and z.one ultra, and Convertible Ultrasound are all trademarks of ZONARE Medical Systems Inc. All other trademarks are the property of their respective holders. The z.
Contents........................................................................................................... iii Figures ............................................................................................................. xi Introduction ................................................................................................... 1-1 z.one ultra Convertible Ultrasound Systems ............................................................... z.one ultra Ultrasound Systems ................
z.one ultra and z.one ultra sp Systems Imaging Screen............................................................................................................ 3-7 Status Icons........................................................................................................... 3-8 Non-Imaging Status............................................................................................. 3-12 SmartCart/SmartCart sp - System Navigation ...........................................................
Examination ........................................................................................................ TEE – Care and Maintenance ................................................................................... Inspecting Transducer ........................................................................................ Cleaning & Disinfecting TEE Transducer............................................................ TEE Transducer Cleaning and Disinfecting Solutions .......................
z.one ultra and z.one ultra sp Systems Postprocessing Modes ........................................................................................ 3D/4D Imaging Controls ...................................................................................... Elastography .............................................................................................................. Configure Mode/Function Key............................................................................. Display Formats .......
Ending & Restoring Exams ................................................................................. 9-10 Import & Export .................................................................................................... 9-11 Backup, Restore, Rebuild & Clean Install ............................................................ 9-11 Printing Reports.......................................................................................................... 9-11 Printing OB & GYN Reports .................
z.one ultra and z.one ultra sp Systems Doppler Calculations ......................................................................................... Heart Rate Measurements ................................................................................ Clip/Image Store (Protocol Button).................................................................... Image Width Button (SmartCart only) ...............................................................
DICOM Structured Reports ..................................................................................... MPPS ...................................................................................................................... DICOM Worklist....................................................................................................... Store/Print Buttons .................................................................................................. FTP Storage ............................
z.one ultra and z.one ultra sp Systems Acoustic Artifacts................................................................................................. 15-5 Power-ON Problems ........................................................................................... 15-7 System Start-Up Problems .................................................................................. 15-8 Peripheral Problems............................................................................................
Figure 2-1. Figure 2-2. Figure 2-3. Figure 2-4. Figure 2-5. Figure 2-6. Figure 2-7. Figure 2-8. Figure 2-9. Figure 2-10. Figure 2-11. Figure 2-12. Figure 2-13. Figure 2-14. Figure 2-15. Figure 2-16. Figure 2-17. Figure 3-1. Figure 3-2. Figure 3-3. Figure 3-4. Figure 3-5. Figure 3-6. Figure 3-7. Figure 3-8. Figure 3-9. Figure 3-10. Figure 3-11. Figure 3-12. Figure 3-13. Figure 4-1. Figure 4-2. Figure 4-3. Figure 4-4. Figure 4-5. Figure 4-6. Figure 4-7. Figure 4-8. z.one ultra Convertible Ultrasound System .
z.one ultra and z.one ultra sp Systems Figure 5-1. Figure 5-2. Figure 5-3. Figure 5-4. Figure 5-5. Figure 5-6. Figure 5-7. Figure 5-8. Figure 5-9. Figure 5-10. Figure 6-1. Figure 6-2. Figure 6-3. Figure 6-4. Figure 6-5. Figure 6-6. Figure 6-7. Figure 6-8. Figure 6-9. Figure 6-10. Figure 6-11. Figure 6-12. Figure 6-13. Figure 6-14. Figure 6-15. Figure 6-16. Figure 6-17. Figure 6-18. Figure 6-19. Figure 7-1. Figure 7-2. Figure 7-3. Figure 7-4. Figure 7-5. Figure 7-6. Figure 7-7. Figure 7-8. Figure 7-9.
Figure 7-21. Figure 7-22. Figure 7-23. Figure 7-24. Figure 7-25. Figure 7-26. Figure 7-27. Figure 7-28. Figure 7-29. Figure 7-30. Figure 7-31. Figure 7-32. Figure 7-33. Figure 7-34. Figure 7-35. Figure 7-36. Figure 7-37. Figure 7-38. Figure 7-39. Figure 7-40. Figure 8-1. Figure 8-2. Figure 8-3. Figure 8-4. Figure 8-5. Figure 8-6. Figure 9-1. Figure 9-2. Figure 9-3. Figure 9-4. Figure 9-5. Figure 9-6. Figure 9-7. Figure 9-8. Figure 9-9. Figure 9-10. Figure 9-11. Figure 9-12. Figure 9-13. Figure 9-14.
z.one ultra and z.one ultra sp Systems Figure 9-24. Figure 9-25. Figure 9-26. Figure 10-1. Figure 10-2. Figure 10-3. Figure 10-4. Figure 10-5. Figure 10-6. Figure 10-7. Figure 10-8. Figure 10-9. Figure 10-10. Figure 10-11. Figure 10-12. Figure 10-13. Figure 10-14. Figure 10-15. Figure 10-16. Figure 10-17. Figure 10-18. Figure 10-19. Figure 11-1. Figure 11-2. Figure 11-3. Figure 11-4. Figure 11-5. Figure 11-6. Figure 11-7. Figure 11-8. Figure 11-9. Figure 11-10. Figure 11-11. Figure 11-12. Figure 11-13.
Figure 12-6. Figure 12-7. Figure 13-1. Figure 13-2. Figure 13-3. Figure 13-4. Figure 13-5. Figure 13-6. Figure 13-7. Figure 13-8. Figure 13-9. Figure 13-10. Figure 13-11. Figure 13-12. Figure 13-13. Figure 13-14. Figure 13-15. Figure 13-16. Figure 13-17. Figure 13-18. Figure 14-1. Figure 14-2. Figure 14-3. Figure 14-4. Figure 14-5. Figure 14-6. Figure 14-7. Figure 14-8. Figure 14-9. Figure 14-10. Figure 14-11. Figure 14-12. Figure 14-13. Figure 14-14. Figure 14-15. Figure 14-16. Figure 14-17. Figure 14-18.
z.one ultra and z.one ultra sp Systems Figure 14-30. Bent, Broken, or Missing Pins on Transducer....................................14-21 Figure 15-1. User Log Information Screen .............................................................15-10 xvi z.one ultra and z.
1 1 Introduction z.one ultra Convertible Ultrasound Systems The ZONARE z.one ultra and z.one ultra sp Convertible Ultrasound™ Systems are the world’s first convertible ultrasound systems, incorporating a full-featured ultrasound cart and a portable Scan Engine into one system. This configuration gives the clinician the flexibility to acquire the same premium-quality ultrasound images on a conventional cart-based system or a small compact unit, depending on the requirements of the clinical workflow.
1 Intended Use The SmartCart/SmartCart sp Workstations are intended to be used for the following types of ultrasound examinations: • • • Fetal Abdominal Intraoperative • • Pediatric • Neonatal/adult • cephalic Pelvic • Vascular Equine Endorectal • • • • • • • • • OB/GYN Transvaginal Transcranial • Cardiac Transesophageal Echocardiography Intracardiac Echocardio-graphy (ICE) Ocular Contrast Imaging Elastography • • • • Small organ/parts (including breast/testes, thyroid, etc.
Chapter Overview 7 Imaging Describes procedures for all imaging modes. 8 Annotations Describes how to place annotations and graphics on scan images. 9 Measurements and Calculations Describes the measurements and calculations that can be performed on live and frozen images. 10 Echocardiography Option For z.one ultra SmartCart only: Describes the cardiac calculation package and the basics of cardiac imaging. 11 Archive and Review Describes the tools and procedures for archive and review.
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2 2 The Basics: SmartCart and SmartCart sp z.one ultra Systems: SmartCart ■ The z.one ultra Convertible Ultrasound™ System is the combination of the SmartCart with the Scan Engine connected to the docking deck (Figure 2-1). ■ The z.one ultra Ultrasound™ System is the combination of the SmartCart with the Scan Module connected to the docking deck (Figure 2-2). z.one ultra Systems: SmartCart sp ■ The z.
2 19” LCD Display Microphone Speakers Gel Bottleholder Cable Management Hooks Control Panel Height Adjust Scan Engine Docking Deck Power On/Off Button Scan Engine Eject Button Scan Engine Lock CD/DVD Drive MTP Multi-Transducer Port (option) Printer in Printer Bay Aux CW Port (w/ CW Doppler option only) ECG Port (w/ CW Doppler option only) Front Wheels with 3 Swivel/Lock positions SmartCart Workstation . Figure 2-1. z.one ultra Convertible Ultrasound System 2-2 z.one ultra and z.
Scan Module SmartCart Workstation Figure 2-2. z.one ultra Ultrasound System (nonconvertible) SmartCart sp Workstation Figure 2-3. z.one ultra sp Convertible Ultrasound System z.one ultra and z.
2 Scan Module SmartCart sp Workstation Figure 2-4. z.one ultra sp Ultrasound System (nonconvertible) SmartCart/SmartCart sp Features The SmartCart/SmartCart sp are full-function ultrasound workstations that are smaller and lighter than conventional systems of equivalent image quality. They can be used in situations where a conventional ultrasound system might not fit.
Figure 2-5. SmartCart/SmartCart sp LCD Display Full Screen Image Display The SmartCart/SmartCart sp allows you to enlarge the imaging portion of the monitor to use the full (1280 x 1024) display. You can easily go from the imaging portion display of (800 x 600) to (1280 x 1024) with the push of a Function Key (see “Programmable Keys” on page 7-9). Figure 2-6. Full-Screen Image Display z.one ultra and z.
2 Video Level Adjustment All adjustments are performed from an onscreen setup menu. Available adjustments and suggested starting settings: ■ Color Temperature • Red: • Green: • Blue: ■ Brightness: ■ Contrast: 102 98 125 215 62 To Adjust LCD Display Video Settings 1. Select Setup button | System Setup | Display | Audio/Video to access the Audio/Video Configuration screen (Figure 2-7). Figure 2-7. Audio/Video Configuration Screen (SmartCart Example) 2.
External Video Mode The external digital video output, which is produced on the HDMI (DVI) video connector at the rear panel of the SmartCart/SmartCart sp (Figure 2-17), can be configured in the Audio/Video Configuration screen (Figure 2-7) for one of two modes (formats): ■ Standard: 1280 x 1024 (includes image area, reference images, scheduling, etc.) If selected for System Display, the image area, system icons, reference images, etc, will be displayed while scanning.
2 Manufacturer CD-R Maxell DVD+R Taiyo Yuden Part No. Media Capacity Speed 648200 100 Pack Spindle 700 MB 48X (Max) DVD+ZZ100SB16 YUDEN000T03 4.7 GB 16X (Max) IMPORTANT: Before deleting any Exam data from the Scan Engine or Cart hard drive, always verify that data was successfully transferred to the CD/DVD by viewing it on an external reader/player.
Docking/Undocking Scan Engine/Scan Module The Scan Engine/Scan Module must be docked on the SmartCart/SmartCart sp for the cart to work. NOTE: All imaging functions are available on the Scan Engine when it is undocked. To Dock Scan Engine/Module on SmartCart/SmartCart sp 1. Place the Scan Engine/Scan Module in the molded area on the docking deck so that it aligns itself in the cradle. 2.
2 SmartCart/SmartCart sp Keylock on Docking Deck Figure 2-9. SmartCart/SmartCart sp Keylock Location Powering ON/OFF Please read and understand “Warnings - SmartCart/SmartCart sp” in the Safety Manual before powering on the SmartCart/SmartCart sp. The SmartCart/SmartCart sp can be powered by AC or an optional ZPak battery that is mounted at the base of the cart. A fully charged ZPak battery allows the SmartCart/SmartCart sp to run for up to 2 hours.
2. The System will take approximately 30 seconds to complete the normal power on sequence. 3. Check the SmartCart/SmartCart sp display to ensure the ZONARE startup screen displays. When initializing is complete, the System is ready for imaging. Figure 2-11. ZONARE Startup Screen NOTE: If the startup screen does not display, make sure the Scan Engine power is turned on and properly connected to the docking deck. To Power OFF the SmartCart/SmartCart sp 1.
2 Height Adjustment To Adjust Height of User Interface Panel 1. Squeeze the release lever located on the inside of the right-front handle to adjust the height (Figure 2-13). When the desired position is reached, release the lever. Release Lever Figure 2-13. Height Adjustment Release Lever LCD Display Position The SmartCart/SmartCart sp LCD Display can tilt and rotate. To do so, grasp the sides of the LCD Display and pivot it to the desired viewing angle.
Figure 2-14. Wheel Locking/Brake Pedal (SmartCart/SmartCart sp) Moving the SmartCart/SmartCart sp To Prepare the SmartCart/SmartCart sp for Moving 1. To maximize the stability of the SmartCart/SmartCart sp during movement, use the release lever to adjust the height of the console to its lowest possible position (see “Height Adjustment” on page 2-12). 2. Rotate the LCD Display arm to its center-most position (display facing directly forward) (see “LCD Display Position” on page 2-12). 3.
2 Figure 2-16. Cable Hooks CAUTION: To avoid possible damage to transducer cables during movement, wrap them over the cable hooks to prevent them from wrapping around the cart wheels. To Move SmartCart/SmartCart sp 1. Push the cart from the front of the system (unless moving over obstacles). CAUTION: To ensure maximum maneuverability and stability (to prevent potential tipping), always push the SmartCart/SmartCart sp from the front of the system. 2.
USB Memory Sticks The SmartCart/SmartCart sp uses removable media (e.g., USB Memory Sticks) for two (2) purposes: • Software Installer & User Preset - System Backup • Patient Image Archive NOTE: A USB Memory Stick can be inserted while the SmartCart/SmartCart sp is powered ON or OFF. To Insert a USB Memory Stick When a USB Memory Stick is plugged into a USB port, a status icon is displayed on the top left of the SmartCart/SmartCart sp imaging screen (see Table 3-3 on page 3-8).
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3 3 Imaging Controls: SmartCart and SmartCart sp Control Panels 31 3 2 4 28 31 31 29 6 7 9 8 11 1 27 30 5 17 18 19 10 14 16 21 13 22 24 26 25 12 20 15 15 23 Figure 3-1. SmartCart Control Panel z.one ultra and z.
3 24 1 3 2 6 5 4 8 7 10 17 22 21 9 14 18 11 13 19 16 20 12 15 15 23 23 Figure 3-2. SmartCart sp Control Panel Table 3-1.
Table 3-1.
3 Table 3-1. SmartCart/SmartCart sp Control Panels: System Controls and Functions (Continued) Number System Control Description 29 Annotation Button Press to display Annotation softkeys for the selected Exam/Preset and transducer. See also page 7-10.
Table 3-2. SmartCart/SmartCart sp Keyboard: Keys and Functions (Continued) Number System Control Description 4 PG FWD Same as PG BK, except the image advances in direction. 5 FIRST LAST This key only works when in an in-progress exam review or in an archived exam review. Pressing this key toggles the display between the first stored image (or first page of images in a multi-image display format) and the last stored image (or last page of images in a multi-image display format).
3 Table 3-2. SmartCart/SmartCart sp Keyboard: Keys and Functions (Continued) Number System Control Description 14 BODY PATTERN This is a toggle key. Pressing the Body Pattern key displays a Body Pattern for the Exam Type in use. Pressing the key again removes the displayed Body Pattern. When a Body Pattern is displayed, pressing left/ right on the Menu Control will cycle through all available Body Patterns. For a complete list of Body Patterns, see Chapter 17.
Imaging Screen New! ZPak Battery Charging Status Figure 3-4. SmartCart/SmartCart sp Image Screen z.one ultra and z.
3 Figure 3-5. Image Screen - Description of Layout Status Icons Table 3-3 shows all status icons that may be displayed on the SmartCart/ SmartCart sp screen. NOTE: If the SmartCart/SmartCart sp is equipped with the optional ZPak battery, two (2) battery icons will display: One for the SmartCart/SmartCart sp battery and the other for the Scan Engine battery. Table 3-3.
Table 3-3.
3 Table 3-3.
Table 3-3. SmartCart/SmartCart sp Onscreen Status Icons (Continued) Icon Function Status Description SmartCart/SmartCart sp CD/ DVD Disc (option) CD/DVD disc is inserted and ZONARE system is writing to it.
3 Non-Imaging Status Exam Clock The exam clock shows: • Current time of day (analog clock) • Duration of time since start of current exam (shaded sector area) Drive Capacity The Drive Capacity area provides information on the storage capacity and the amount of space used of the internal storage devices (i.e., the internal 80MB hard drive). • All capacities are shown in megabytes (Mb). • The storage devices are listed by alphabetical letter assignment.
• Default image/clip storage space insufficient for transfer Recent Measurements Recent Measurements provides a quick review of the latest measurements performed during the current exam. Recent measurement information is indicated as follows: ■ Green: Any of the following criteria exist.
3 Department Schedule Department Schedule provides quick reference to the ultrasound examinations scheduled in the department by a DICOM Modality Worklist server (optional). Status of scheduled items is indicated as follows: ■ Green: Department Schedule has been successfully updated in the past 30 minutes. Exam is in progress and the time is earlier than the next scheduled procedure time.
Table 3-4. Frequently Used Menus Button Button Name Menu Setup or Set-up Menu that appears when user presses Setup button Menu Example: Menu that appears when user presses Menu button while doing live B-Mode (2D) imaging Exam Type Example: Menu that appears when user presses Exam Type button while doing Abdominal exam z.one ultra and z.
3 Table 3-4. Frequently Used Menus (Continued) Button Button Name Menu Calc Example: Menu that appears when user freezes image, then presses Calc button while doing Abdominal exam in B-Mode (2D) Measure Example: Menu that appears when user freezes image, then presses Measure button while in B-Mode (2D) • After you push one of the buttons listed in Table 3-4, its menu appears on the LCD Display.
To Navigate System Menus NOTE: All users must be familiar with the following procedure. The Trackball is the main control used to highlight and select items on system menus. 1. Press one of the buttons listed in Table 3-4. A menu will display. 2. To choose an item on the menu, scroll the Trackball up or down to highlight the selection. Scroll up/down Scroll right/left Figure 3-7. Trackball with Set Buttons 3. To select a highlighted item, scroll the Trackball as described in Figure 3-8.
3 Table 3-5. Menu Icons (Continued) Icon Control Selection and Action Double Arrows Scroll Trackball to the right to select the item and bring up Pointing Right next menu with further selections. Or press right Set button. Single Arrow Pointing Left Highlight with Trackball; then scroll Trackball to the left to return to previous menu. Or press left Set button.
NOTE: You may have to adjust Trackball sensitivity a few times before you find the settings you like. Table 3-6. Trackball Sensitivity Options Option Description Menu Scroll Up/Down Sets speed of Trackball movement by User when moving up/down through menu selections. Menu Scroll Left/Right Sets speed of Trackball movement by User when moving left/right to select menu options.
3 Set Time, Date, and Language To Set Time, Date, and Language 1. Go to: SmartCart/SmartCart sp Setup | System Setup | Display | Time/Region Scan Engine Tools | System Setup | Display | Time/Region 2. The Date & Time Configuration screen displays (Figure 3-11). Figure 3-11. Date & Time Configuration Screen 3. Select date (Date Format) and time (Time Format) formats you want. 4. Set clock in Date/Time Setting area. 5. Display Language and Keyboard Language: Default is English.
Sleep and Shutdown To Set Sleep and Shutdown Parameters 1. Go to: SmartCart/SmartCart sp Setup button| System Setup | Power Save Scan Engine Tools | System Setup | Power Save 2. Select the parameters you want and click Apply to save. Password Protection Password protection can be enabled to prevent unauthorized use of the Scan Engine and SmartCart/SmartCart sp workstations. User passwords are set on the Access Control screen.
CAUTION: If password protection (Access Control) is used, make sure user-assigned passwords are retained in a safe place by the System Administrator. If a password is lost or forgotten, no master password is available for recovering access to the SmartCart/SmartCart sp for normal operation. A complete reinstallation of system software will be required. Barcode Reader (Option) To Configure Barcode Reader 1. Go to Setup | System Setup | Display | Barcode. The Barcode Reader Configuration screen displays.
3. Press New Patient key on QWERTY keyboard to display Patient Information form (Figure 7-1 on page 7-1). 4. Scan barcode with barcode reader. Barcode information will automatically populate Patient ID or Accession field (as selected above) on Patient Information form. 5. Fill out rest of Patient Information form as described in “To Edit Patient Information Form” on page 7-3. Exam in Progress 1.
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4 4 The Basics: Scan Engine and Scan Module Scan Engine Basics.............................................................. see page 4-1 Scan Module Basics ........................................................... see page 4-10 Scan Engine The Scan Engine serves as the main processing device for the z.one ultra Convertible Ultrasound™ System and the z.one ultra sp Convertible Ultrasound™ System (see Chapter 2). For either cart to function, the Scan Engine must be placed on the docking deck.
4 Figure 4-1. Scan Engine with Transducer (Front View) Figure 4-2. Scan Engine (Back View) The Scan Engine may be used for complete examinations or limited procedures. ■ When Scan Engine is docked on the Cart: • Images are processed internally using the LCD Display on the Cart. 4-2 z.one ultra and z.
• The Scan Engine's internal battery is automatically recharged while the Scan Engine is docked. ■ When the Scan Engine is undocked: • Images are displayed on the Scan Engine’s local LCD Display (see “Scan Engine LCD Display” on page 5-1). • User operations are performed on the Scan Engine’s local Control Panel (see “Scan Engine Control Panel” on page 5-3). • The Scan Engine is powered by an internal rechargeable battery (or the optional AC adapter; see page 4-4).
4 USB Memory Sticks The Scan Engine/Scan Module uses removable media (e.g., USB Memory sticks) for two (2) purposes: • Software Installer & User Preset - System Backup • Patient Image Archive NOTE: A removable media stick can be inserted while the Scan Engine/Scan Module is powered ON or OFF. To Insert Removable Media 1. Open the door located at the back of the Scan Engine/Scan Module and plug the removable media into the port. USB Removable Media Port Figure 4-3.
shows whether the battery is charging and how much charge is left. See Table 4-3 on page 4-9. If the optional ZPak battery is used, two status icons display on the SmartCart/ SmartCart sp LCD monitor: One for the ZPak battery and the other for the Scan Engine internal battery. Battery Charge LEDs Figure 4-4. Scan Engine Battery Slot To Install Battery NOTE: Remove the Scan Engine from the SmartCart/SmartCart sp before installing/replacing the battery. 1.
4 Battery Charge Status Icon Figure 4-5. Scan Engine Onscreen Battery Charge Icon 2.
Scan Engine Battery Level Messages Table 4-2. Battery Charge Level Messages Battery Level Onscreen Message <25% ■ Less than 25% Charge Remains Timed out message only <10% ■ Less than 10% Charge Remains. Plug-in Or Dock Z.ONE To Charge Battery Timed out message only < 5% ■ System Will Power Down In 1 minute. Plug-in Or Dock Z.ONE To Continue Imaging Message cancels if user does not acknowledge message after 30 seconds. ■ Battery dangerously low. Shutdown pending.
4 Figure 4-6. Scan Engine Battery Charger To Charge a Battery Refer to Figure 4-6 as you read the following instructions. 1. Connect the AC power cable of the Battery Charger’s power supply to an active wall outlet. 2. Connect the DC power cable of the Battery Charger’s power supply to the Battery Charger. 3. Insert the battery into the either bay of the Battery Charger. 4. Charging of the battery will begin. While charging, the status LED for that bay will flash GREEN. 5.
NOTE: Recalibration may take 14 hours. Do not remove the battery before recalibration is complete because the battery charge will be at an unknown level. Table 4-3. Battery Charger LED Status Indicators AC Power Adapter Figure 4-7. AC Power Adapter The Scan Engine AC Power Adapter enables use of the undocked Scan Engine when the one-hour battery is not sufficient. z.one ultra and z.
4 To Connect the AC Power Adapter Make sure the Scan Engine is undocked from the SmartCart/SmartCart sp. Refer to Figure 4-7 as you read the following instructions. 1. Power OFF the Scan Engine. 2. Connect the DC Adapter Cable to the +12VDC connector of the Scan Engine. 3. Connect the DC Power Cable-Connector to the DC Adapter Cable. 4. Plug the AC Power Cable into the Power Supply. 5. Plug the other end of the AC Power Cable into an AC wall outlet. 6. Check the Power-On Indicator on the Power Supply.
5 5 Imaging Controls: Scan Engine Scan Engine LCD Display Figure 5-1. Scan Engine LCD Display The Scan Engine LCD Display is divided into: • Image area (center) • Menu Control area (left) • Image Optimization area (right) The screen displays image, patient, and information areas as shown in Figure 5-1. The active onscreen menu displays in the Menu Control area. z.one ultra and z.
5 Virtual Keyboard (VKB) A touchscreen keyboard, called the virtual keyboard (VKB), can be displayed on the Scan Engine LCD Display. Figure 5-2. Scan Engine VKB To Display the Scan Engine VKB 1. Go to Tools | Annotate | Text and press Select. 2. The green text cursor appears at the default Home position and the virtual keyboard (VKB) displays. The VKB enables the user to make standard alphanumeric data entries when the Scan Engine is being operated undocked.
User Controls Scan Engine Control Panel Figure 5-3. Scan Engine Control Panel Table 5-1. Scan Engine Control Panel: Buttons and Functions Number System Control Description 1 GAIN There are two options: ■ Controls the overall gain for the active mode: B, M, Color, PW ■ Adjusts the DGC for the selected region when the virtual DGC graphic is displayed 2 DGC Turns on the virtual DGC graphic 3 DEPTH There are two options: 4, 15 FREEZE z.one ultra and z.
5 Table 5-1. Scan Engine Control Panel: Buttons and Functions (Continued) Number System Control Description 5, 16 STORE Stores current still image, or clip store sequence, to device(s) previously specified in System Setup menu (internal compact flash, DICOM printer, DICOM store).
Table 5-1.
5 Queue Admin is highlighted; press Select button to select. Figure 5-5. Scan Engine Tools Menu NOTE: In some cases, a submenu will appear. System Setup, for example, has a submenu (Figure 5-6), and the submenu items have further submenus. All menus and submenus are navigated in the same way. Figure 5-6. System Setup Submenu 4. If a menu item has further options, it will be preceded by left/right arrows and the final letter(s) will be in a GREEN box (see Figure 5-7).
6. For ON/OFF selections (Figure 5-7), highlight the item using the Menu Control up/down arrow keys and press Select to toggle the control ON/OFF. 7. To return to the previous menu, press the Back button. Menu Icons Table 5-2. Menu Icons Icon ON Control Selection and Action ON/OFF Press Select button to toggle between ON/OFF states. The icon is green in the ON state. Factory Preset Press Select to toggle between ON and OFF states. Used in the Preset menu only.
5 Denotes Factory Exam Preset. Press Select to toggle between ON and OFF states. Figure 5-8. Presets Tab Menu Patient Tab The Patient tab allows access to patient demographic information. Use the Patient tab to view the Patient Information form (see “Patient Information Form” on page 7-1). Select Exam Type and Preset when beginning a new study. Figure 5-9. Patient Tab Menu Tools Tab Figure 5-10. Tools Tab The Tools tab provides access to a wide range of system setup and maintenance procedures. 5-8 z.
6 6 Transducers and MTP Option ZONARE Transducers...................................................................6-1 Multi-Transducer Port Option ......................................................6-3 TEE Transducer...........................................................................6-6 ViewFlex ICE Catheters .............................................................6-20 Transducer Applications ...........................................................
6 Figure 6-1. Transducer Connecting/ Disconnecting All ZONARE transducers connect directly to the Scan Engine/Scan Module. You can connect or disconnect a transducer while the SmartCart/SmartCart sp or Scan Engine/Scan Module is ON or OFF. NOTE: If your system has the optional Multi-Transducer Port (MTP), go to page 6-3. Transducer Connector Port Locked Locking Knob Transducer Connector Figure 6-2.
WARNING: Bent, broken, or missing pins on the transducer connector may cause poor image quality, including possible mirror image artifact. Be sure to check pins before connecting transducer to the ZONARE ultrasound system. If pins are bent, broken, or missing, do not use the transducer and call ZONARE Technical Support. Bent pins Missing/ damaged pin Figure 6-3. Bent, Broken, or Missing Pins on Transducer 2. Insert the Transducer Connector into the Scan Engine/Scan Module’s Transducer Connector Port.
6 Arm of MTP Transducer Connector (arm is in down position, aligning MTP Transducer Connector with Scan Engine/Scan Module Transducer Connector Port) MTP Transducer Connector Up to 3 transducers can connect to MTP at one time Figure 6-4. Multi-Transducer Port (attached to Scan Engine) To Connect MTP to Scan Engine/Scan Module 1. Slide the arm of the MTP Transducer Connector (Figure 6-4) down to align it with the Transducer Connector Port on the Scan Engine/Scan Module (Figure 6-2). 2.
Transducer Protective Sheath To Apply a Transducer Protective Sheath IMPORTANT: For the protection of both the patient and healthcare worker, sonographers should be properly gloved throughout the entire procedure when performing ultrasound examinations. NOTE: ZONARE recommends the use of a market-approved sterile protective sheath. Follow the user instructions for the particular sheath. 1. Remove the sheath from its packaging. 2. Apply water-based ultrasound gel to the inside of the sheath. 3.
6 3. Attach the sterile needle guide over the transducer cover. 4. To activate the onscreen needle guide graphics: SmartCart/SmartCart sp Press Bx Guide (top row of keyboard). Scan Engine Activate the Imaging tab. On the 2D (B-mode) menu, select Biopsy Guide. NOTE: The relative path of the needle is displayed between the two lines on the B-Mode image. Refer to the instructions that came with the biopsy guide. To Attach a Disposable Biopsy Guide (E9-4 Transducer Only) 1.
Articulation Section Flexible Shaft Distal Transducer Tip Transducer Connector Deflection Control Wheels Transducer Cable Control Handle Strain 100-cm Mark Figure 6-6. P8-3TEE Transducer Intended Use The physician conducting the examination must exercise sound medical judgement in the selection of patients for this transducer and be properly trained in endoscopic techniques as prescribed by current medical practices. The P8-3TEE transducer is intended to be used on adult patients.
6 WARNING: Any visible evidence of damage or improper mechanical operation indicates the transducer cannot be used and should be returned to ZONARE for evaluation and repair. See page 15-1 for contact information. General Safety NOTE: See also the Safety Manual. ■ The multiplane TEE transducer should be used only by a qualified physician who has received appropriate training in proper operation of the transducer and in endoscopic techniques as dictated by current relevant medical practices.
CAUTION: Devices containing latex may cause severe allergic reaction in latex sensitive individuals. Refer to FDA's March 29, 1991, “Medical Alert on Latex Products.” ■ Place the biteguard on the gastroscope prior to transducer insertion for easy placement in the patient's mouth. The biteguard can also be placed in the patient's mouth before inserting the gastroscope and transducer. WARNING: The use of a biteguard is mandatory.
6 Tip Deflection Control ■ The deflection control wheels found on the handle of the transducer control deflection of the transducer tip. Anterior/Posterior Wheel Right/Left Wheel Figure 6-7. Tip Deflection Control Wheels WARNING: Check if the maximum deflection of the tip is 90° to 120° upward, 60° to 90° downwards and 30° to 45° left/right. If the deflection shows an unwanted amount of free play or exceeds the maximal deflection (displaying a sharp “U- turn”), do not use the transducer.
Anterior/Posterior Unlock - White LEFT / RIGHT Lock - Red Figure 6-9. Friction Lock Operation - Anterior/Posterior Transducer Scan Plane Rotation Control The transducer scan plane can be rotated from 0° (transversal plane) to 90° (longitudinal plane) to 180° (transversal plane, left/right inverted). All planes in between can also be chosen (see Figure 6-10). Counterclockwise rotation Clockwise rotation Figure 6-10.
6 Temperature Indicator Angle of Rotation Figure 6-11. Scan Plane Indicator Temperature Indicator The transducer has a temperature indicator that is continuously displayed on the system monitor. Three upper limits of thermal temperature are displayed. 1. WARNING LEVEL – 40.5°C ■ Temperature displays in WHITE between 40.5°C and 41.4°C Figure 6-12. Temperature Indicator at 40.
• To lower temperature, freeze image for a short time or lower Acoustic Output power 3. MAXIMUM TEMP LIMIT EXCEEDED Figure 6-15. Temperature Indicator When Max Temp Exceeded Figure 6-16. Temperature Warning When Max Temp Exceeded • Image will freeze and display Warning in Figure 6-16. • Click OK and disconnect TEE transducer. Wait a few minutes, then reconnect TEE transducer to MTP. • Press TEE transducer softkey to reactivate transducer. • If TEE transducer is cool enough, system will resume imaging.
6 ■ Prolonged pressure on the esophagus by the tip of the transducer may lead to a pressure necrosis phenomenon. Thus, in monitoring applications, the tip should be removed from the esophagus wall when you are not scanning by releasing it in the neutral position. If continuous monitoring is required, the transducer tip should often be repositioned. ■ Whenever active scanning is not desired 'freeze' the image and release the deflection control.
Connector pins Figure 6-17. TEE Transducer - Connector and Pins WARNING: Immediately replace a transducer that exhibits any damage. Cleaning & Disinfecting TEE Transducer NOTE: Do not use any cleaner or disinfectant on the transducer pins. A dry lint-free cloth can be used to wipe the pins or a lint-free cloth slightly dampened with an approved disinfectant. Never press the pins with your finger as the oils in your fingers could interrupt contact.
6 Cleaning Wipe Method 1. Disconnect the transducer from the Cart. If present, remove the transducer cover/sheath and discard. 2. Use a soft cloth dampened with a mild soap (Liquinox) and water solution to remove particulate, ultrasound coupling gel, or body fluids. 3. Next, ZONARE recommends the use of a disinfectant solution to wipe the strain relief, control handle, deflection wheel, push buttons, cable and transducer connector. Avoiding touching the internal pins with any cleaner.
NOTE: Consult the manufacturer’s Instructions For Use before using a TEE cleaner or disinfectant. For the latest list of TEE transducer disinfectants approved by ZONARE, go to www.zonare.com/products/accessories. Cleaners (Wipe Method) Cidezyme®/Enzol® Prolystica® 2x conc.
6 Dual Conductivity Probe Leakage Tester Transducer Adapter Figure 6-18. Typical Leakage Tester Setup Leakage Test Setup 1. Fill soak tray or container that will be used for leakage tester with appropriate solution. 2. Connect dual conductivity transducer and adapter to the leakage tester. 3. Connect transducer to the adapter. 4. You can choose to use batteries or the AC adapter on the leakage tester. If using AC adapter plug this into the leakage tester. 5.
Connect Adapter and Dual Conductivity Probe in either port LCD Screen Serial Port Connector (for printers) AC Adapter Connection Figure 6-19. Leakage Tester NOTE: The leakage tester comes already programmed from ZONARE. Please refer to the leakage tester user manual for any further adjustments. Table 6-1. Leaker Tester Buttons and Screens Button Function Powers the unit ON/OFF. When turned on, initiates with the Main screen.
6 Table 6-1. Leaker Tester Buttons and Screens (Continued) Press to Reset to the Main screen. Leaker Tester Screens Storing the TEE Transducer ■ Use great care when storing the TEE transducer. ■ Make sure the transducer is adequately cleaned and disinfected prior to storage. ■ Store in an adequately ventilated area or container. ■ A wall mounted transducer hanger can also be used for storage. Make sure the transducer control handle, cable, and connector are adequately supported.
Transducer Applications NOTE: ZONARE transducers have a specific range of acceptable application use. Users are advised to restrict each transducer’s use to those applications. NOTE: For the latest information on biopsy guides approved by ZONARE, go to www.zonare.com/products/accessories. Table 6-2.
6 Table 6-2.
Table 6-2. Transducers and Applications (Continued) Transducer L10-5 Applications: Thyroid Breast Scrotum Pediatric Hips Biopsy Guide Yes CIVCO AccuSITE™ Needle Guidance System #698-008 CIVCO Ultra-Pro II™ Needle Guidance System #698-004 Peripheral Vascular Superficial Anatomy Ocular Needle Guidance L12-4v No Applications: Pediatric Small organ (thyroid, breast, testes, etc.
6 Table 6-2.
WARNING: To avoid injury to the patient, use only the Ocular Preset when performing imaging through the eye. The FDA has established lower acoustic energy limits for ophthalmic use. The system will not exceed these limits only if the Ocular Preset is selected. See the Safety Manual for information about the lower acoustic energy limits established for ophthalmic use.
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7 7 Imaging Patient Information Form The Patient Information form is the record of the exam (patient ID and demographic data, date and time of the exam, salient clinical details). It should be completed before imaging to select the correct transducer, Exam type, and Preset and to store scan images and study data in the correct exam directory. If DICOM has been activated on the system, many data fields on the Patient Information page are completed automatically from the DICOM Worklist (see page 7-2).
7 Softkeys The softkeys at the bottom of the Patient Information page have the following functions. Point with Trackball, and then press Set to activate the control. • Exit: Saves and closes the Patient Information form. For a new exam, creates the exam directory. Activates imaging. • New: Press to enter information for a new patient. System will display message: Do you want to close the current exam? Yes or No. If you select Yes, exam in progress closes and data for that exam is saved.
To quickly find a patient name in the Worklist Selection Table, click the Query Patient softkey. The Patient Worklist Query screen displays: ** See below * Figure 7-3. Patient Worklist Query Screen 1. Type in the Patient’s Last Name in the field provided. * Wildcard Character ( * ): If you don’t know exact spelling, begin typing a name, then type wildcard character to find names beginning with the letters you typed.
7 Scan Engine To delete text: Use Backspace on VKB to delete single characters. Highlight entire data field and use Backspace to clear entire data field. To enter text: Use stylus on VKB. 4. When the Patient Information form is complete, select Exit or press Freeze to save the form and return to the image display. Exam Basics: Begin, Close, Restart NOTE: If DICOM is activated on your system, see “To Begin a New Exam From a DICOM Worklist” on page 7-5. To Begin a New Exam 1.
WARNING: To avoid injury to the patient, use only the Ocular Preset when performing imaging through the eye. The FDA has established lower acoustic energy limits for ophthalmic use. The system will not exceed these limits only if the Ocular Preset is selected. See the Safety Manual for information about the lower acoustic energy limits established for ophthalmic use. 4. Enter patient demographic and clinical data: SmartCart/SmartCart sp Use the keyboard to enter text.
7 5. To save and exit: a. When the form is complete, select Exit or press Freeze to save the form and return to the image display. b. Verify that the patient’s name and the correct Exam type and Preset display at the top of the Image area. NOTE: For those Exam types and Presets with calculation packages, selecting the correct Exam type and Preset activates the measurement and calculation packages. NOTE: Storing the first image opens a new exam.
NOTE: Choose a Preset that is the closest to your desired Preset parameters. 4. Press the Menu button. Modify any of the values on the factory-installed Preset by adjusting any system imaging parameters (user controls) to the values you wish to be stored in this new User Preset. NOTE: Do this for each mode, i.e., B/2D, C, PW, M 5. Return to the Presets tab. 6. Select or highlight the Preset Management menu item. 7. Select Create. 8. Name the new Preset. 9. Click Apply on the screen to save the new Preset.
7 To Enable/Disable a Factory or User Preset in Menu NOTE: Factory Presets are identified by a Zonare Z inside the bubble to the left of their name in the main Presets menu. Customized User Presets can be identified by an empty bubble to the left of their name. 1. Press Exam Type button. 2. Ensure that the desired Exam Type is currently selected. NOTE: If not, go to the Presets tab and select desired Exam Type prior to beginning the Enable/Disable steps below. 3. Select the Preset Management option. 4.
Type desired name in Name box Select transducer Select an available Exam Type or Preset. Click Apply to save and exit. Figure 7-5. Preset Customization Configuration Screen 3. Select a transducer in the Transducer drop-down box. 4. Customize softkey display for this transducer by selecting Exam and Preset for one or more Buttons (softkeys). You can give each softkey a Name. Enter the desired name in the Name box. 5. Click Apply to save and exit.
7 Select Text or Body Patterns here as default. Figure 7-6. Function Key Assignments Screen To Configure Function Keys 1. Go to: SmartCart/SmartCart sp Setup | System Setup | Keys Scan Engine Tools | System Setup | Keys 2. The Function Key Assignments screen displays (Figure 7-6). 3. Click the drop-down box next to the desired Function Key. The drop-down list displays. Not all assignment options are available for each key. Assignment options vary depending on your system and key chosen. Figure 7-7.
4. Select the function you want to assign to the Function Key. Then click Apply. NOTE: There are two rocker function keys available that can be programmed to adjust a specified imaging parameter up or down. 5. To verify the newly configured Function Key, press the key to ensure that the desired operation begins. NOTE: To display the Function Keys on the SmartCart/SmartCart sp monitor, check the box labeled Display Function Keys (Figure 7-6), then click Apply.
7 Image Width (Live) (SmartCart Only) Image Width enables users to quickly narrow the lateral margins of the image field of view [see also “Image Width Button (SmartCart only)” on page 10-12]. You can adjust the amount of cropping by using the Trackball. Reducing the Image Width also increases the image frame rate. To Operate Image Width 1. Acquire the desired image view and press the Image Width button. 2. The full image narrows by symmetrically reducing the width. 3.
3. For Stopwatch RESET/PHASE, see “Stopwatch RESET/PHASE Softkey” on page 7-76. NOTE: You can set a Function Key to display Stopwatch STOP/START and Stopwatch RESET/PHASE; see “Programmable Keys” on page 7-9. 4. Press Clip A/Clip B softkey to toggle between the two options. 5. Press Beats/Seconds softkey to toggle between the two options. Rotate the knob to increase/decrease the number of beats or seconds. • You can choose up to 300 Beats or 300 Seconds.
7 Figure 7-8. B-Mode Image Display Format SmartCart/SmartCart sp Scan Engine Figure 7-9. B-Mode Menu (Imaging Tab) Working with B-Mode Imaging 7-14 ■ For an optimal B-Mode image, begin imaging with the settings implemented by the Preset. Then optimize the image if necessary. See “Presets” on page 7-6. ■ To perform the required operations on the live image, see “Live and Frozen Images” on page 7-11 for operations that can be performed on a live image. ■ To freeze the image, press Freeze. z.
■ Virtual Apex Array Format To perform retrospective processing on a frozen image, see “Live and Frozen Images” on page 7-11 for operations that can be performed on a frozen image. The format of linear array transducers and some curved array transducers can be changed from linear array (its original format) to virtual apex array. This allows expansion to a wider field of view and back to normal view by the press of a control. Figure 7-10.
7 Linear Array Format is Active Virtual Apex Array Format is Active Figure 7-12. Linear and Virtual Apex Array Icons and Softkeys Dual Mode Turning on Dual imaging mode enables the system to display two side-by-side images (referred to as image A and image B for the purpose of this document). Only nonstrip imaging modes (i.e., 2D/B-Mode, Color Doppler, or Power Doppler) are supported for Dual image mode.
Scan Engine a. Using Menu Control, ensure that Dual function is selected. b. Using Menu Control left/right arrows, toggle through to activate (B) Dual image. 4. Optimize orientation on patient’s anatomy, user settings, and image quality for this second image displayed (B). To Enter Dual Mode From Frozen 2D/B-Mode Image 1. Freeze 2D image. Press Dual button. 2. System enters Dual mode. Image A (left) is frozen; Image B (right) is live. 3. Press Enter to activate Image A and freeze Image B.
7 NOTE: A transducer must be attached to the Scan Engine for the Optimize feature to work. The method of pressing the Optimize button (single press-and-release or press-and-hold) defines one of two possible configurable sets of actions related to the Overall/DGC and Sound Speed Correction functions.
Optimize Button Operation To Activate Automatic Overall/DGC Gain Optimization SmartCart/SmartCart sp a. Press the Optimize button to automatically balance the Overall/DGC Gain. The B-Mode image will adjust the brightness of the image to the Target Gain Offset value that was set by the factory. To change the setting, see “Optimize Button Configuration” above. b. If the B-Mode overall Gain is changed while Optimize = ON, the Target Gain value will be modified to reflect the new Gain setting.
7 Figure 7-14. Menu Access - Compounding Function To Activate Image Compounding (SmartCart/SmartCart sp only) 1. During B-Mode, press the Compounding ON/OFF softkey. 2. Alternatively, press the Frequency button to quickly cycle through the Frequency and Compounding choices. a. Look at the Data Display to see the Frequency or Compounding schemes. To Activate Image Compounding (SmartCart/SmartCart sp & Scan Engine) 1.
Table 7-1. B-Mode Controls B Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. Gain ✱ ■ Adjust Gain by rotating outer ring of B Mode (2D) button. ■ Adjust Gain using the Gain knob. Or ■ Highlight Gain. Press Left / Right function on Menu Control to increase or decrease the desired receive gain. The selected value displays in the Image Information area. ■ Press Depth button Up to decrease depth; press the Down to increase depth.
7 Table 7-1. B-Mode Controls (Continued) B Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. Harmonics SmartCart ■ SmartCart ■ Highlight Harmonics. Press Select to toggle between selecting/deselecting harmonic imaging mode. When harmonic imaging is active, an H displays in the Image Information area. ■ Highlight Frequency.
Table 7-1. B-Mode Controls (Continued) B Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. Zoom ■ Acoustic Zoom (During live scanning): Press Zoom button. The ROI (region of interest) box displays over the image. ■ Define the ROI: Use the Trackball. Press the Set button to toggle between ROI position and ROI size. SmartCart/ SmartCart sp Define the ROI: Use the Trackball.
7 Table 7-1. B-Mode Controls (Continued) B Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. Dynamic Range✱ L/R Invert SmartCart/SmartCart sp ■ ✱ SmartCart/SmartCart sp ■ U/D Invert ✱ ✱ ✱ Press the Menu button. Highlight Persistence with the Trackball. Move the Trackball left/ right (or press left/right Set button) to increase or decrease the desired level of frame averaging.
Table 7-1. B-Mode Controls (Continued) B Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. DGC ✱ SmartCart ■ SmartCart ■ Press DGC button. The onscreen DGC graphic displays to the right of the image. The green highlight shows the active “slider.” Turn Gain clockwise to increase gain and counter clockwise to decrease gain at the depth controlled by the active slider.
7 Table 7-1. B-Mode Controls (Continued) B Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. Compounding✱ SmartCart/ SmartCart sp NOTE: All ZONARE ultrasound factory Presets have Compounding as the default. To adjust B-Mode frequencies, first exit Compounding as follows: ■ Highlight Compounding in the Imaging menu. Press Select to turn OFF the Compound Harmonic imaging function. Repeat this process to turn ON Compounding.
Table 7-1. B-Mode Controls (Continued) B Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. Dual: OFF/ON SmartCart ■ Highlight Dual Off (On). Press Left / Right NOTE: The Dual imaging function allows for function on Menu Control to turn On/Off displaying two separate images on the screen the dual image display function. (at the same time) for concurrent comparison/ analysis.
7 Table 7-1. B-Mode Controls (Continued) B Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. Simul: (Dual) Scan Engine ■ Press the softkey assigned Simul to toggle On/Off the Simultaneous Dual imaging update modality. NOTE: When Simul Dual is active, the two different images, potentially using different modalities (i.e. Color Doppler & Power Doppler) will be dynamically updated, simultaneously.
Motion Mode (M-Mode) Imaging Motion mode (M-Mode) is used to quantify the dynamic movement of tissues. M-Mode imaging begins with the acquisition of a B-Mode image. Figure 7-15. M-Mode Image Display Format SmartCart/SmartCart sp Scan Engine Figure 7-16. M-Mode Menu (Imaging Tab) Working with M-Mode Imaging 1. Acquire the B-Mode image. See “Brightness Mode (B-Mode/2D) Imaging” on page 7-13. 2. Initiate M-Mode as follows: z.one ultra and z.
7 a. Press M button. Press Menu button (SmartCart/SmartCart sp) or Menu Control (Scan Engine) to view M-Mode menu. Scan Engine Alternative method: Press Mode to view Mode menu. Then select M-Mode. b. The M-cursor bisects the B-Mode image. The M-Mode scroll begins. c. M-Mode status information displays to the left of the M-Mode strip. 3. To freeze the image, see “Live and Frozen Images” on page 7-11. 4.
Table 7-2. M-Mode Controls (Continued) M Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. Depth ■ Press the Depth rocker button Up to decrease depth; press Down button to increase depth. The selected depth is displayed in the Image Information area. SmartCart/ SmartCart sp ■ On the Depth rocker button, press the Up button to decrease depth; press Down to increase depth. Or ■ Highlight Depth.
7 Table 7-2. M-Mode Controls (Continued) M Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. Disp Format ✱ ■ Press Menu button. Highlight Disp Format (display format) with Trackball. Move Trackball to select preferred display format.
Table 7-2. M-Mode Controls (Continued) M Control ✱ SmartCart/SmartCart sp Scan Engine Indicates this control is also available in retrospective processing. Dynamic Range✱ ■ Press Menu button. Highlight Dyn Range with Trackball. Move Trackball left/right to select dynamic range setting. Persistence ✱ ■ Press Menu button. Highlight Persistence with Trackball. Move Trackball left/right (or press left/right Set buttons) to select preferred level of M-Mode line averaging.
7 Color and Power Doppler Imaging Color Doppler imaging provides qualitative directional information about blood flow (mean velocity) within the color region of interest (color ROI). Power Doppler imaging provides qualitative nondirectional energy information about the blood flow within the Power Doppler ROI. Figure 7-17. Color Mode & Power Doppler Display Format SmartCart/SmartCart sp Scan Engine Figure 7-18. Color Doppler Menu (Imaging Tab) 7-34 z.one ultra and z.
Working with Color and Power Doppler Imaging To Access Color Doppler Imaging Mode 1. Acquire the B-Mode image (see “Brightness Mode (B-Mode/2D) Imaging” on page 7-13). 2. Press the C Mode button. 3. Press Menu button (SmartCart/SmartCart sp) or Menu Control (Scan Engine) to view Color Doppler menu. The Color Mode status information and the Color Bar are displayed to the left of the image. Scan Engine Alternative method: Press Mode to view Mode menu. Select Color Doppler. 4. Define the color ROI: a.
7 a. Press the Pwr Dop button on the Touchscreen. Scan Engine b. To return to B-Mode, press C. Dual Imaging Mode Dual imaging mode enables the ultrasound system to display two side-by-side images, referred to as image A (left side) and image B (right side) in this document. Only nonstrip imaging modes (i.e., B-Mode and Color/Power Doppler modes) are supported for Dual image mode.
3. To toggle to (activate) the other Dual image (B): SmartCart Press Enter button. SmartCart sp Press Enter/Select button. Scan Engine a. Using Menu Control, select the Dual function. b. Using the Menu Control left/right arrows, toggle through to the activate the (B) Dual image. 4. Optimize the orientation on the patient’s anatomy, user settings, and image quality for this second image displayed (B). To Activate Simultaneous Dual Mode 1.
7 Color Doppler and Power Doppler Controls Table 7-3. Color Doppler and Power Doppler Controls CD/PD Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing Gain ✱ ■ Adjust Gain using outer ring of C Mode button. ■ Adjust Gain using Gain knob. Or ■ Highlight Gain. Press Left / Right function on Menu Control to increase or decrease the desired receive gain. The selected value displays in the Image Information area. ■ Highlight Scale.
Table 7-3. Color Doppler and Power Doppler Controls (Continued) CD/PD Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing Pwr Doppler ■ Press Pwr Dop softkey to toggle between Color Doppler and Power Doppler modes. ■ Highlight Pwr Doppler. Press Select button to toggle between Color Doppler and Power Doppler modes. ■ Press Filter softkey Up to increase filter; press Down to decrease filter.
7 Table 7-3. Color Doppler and Power Doppler Controls (Continued) CD/PD Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing Zoom There are two types of Zoom. Acoustic Zoom requires that the image be “live” or in realtime mode. Display/Pan Zoom is used on “frozen” images. Acoustic Zoom ■ Press Zoom button. The zoom ROI (region of interest) box displays on image. Define ROI: Use Trackball.
Table 7-3. Color Doppler and Power Doppler Controls (Continued) CD/PD Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing Frequency ✱ ■ Press Frequency button to cycle through the transmit frequency choices. ■ Press the Menu button. Highlight Persistence with Trackball. Move Trackball left/right (or press left/right Set buttons) to select preferred level of M-Mode line averaging. ■ Press Menu button. Highlight Edge with Trackball.
7 Table 7-3. Color Doppler and Power Doppler Controls (Continued) CD/PD Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing Dual: OFF/ON SmartCart ■ SmartCart ■ Highlight Dual. Press Select button to toggle On/Off this function. ■ Highlight Dual Off (On). Press Left / Right function on Menu Control to sequence through four (A, B, A:b, a:B) different Dual image display states.
Table 7-3. Color Doppler and Power Doppler Controls (Continued) CD/PD Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing Simul: (Dual) Scan Engine ■ Press Simul softkey to toggle On/Off Simultaneous Dual imaging update modality. NOTE: When Simul Dual is active, the two different images, potentially using different modalities (i.e. Color Doppler & Power Doppler) will be dynamically updated, simultaneously.
7 Working with PW Doppler Imaging To Initiate PW Doppler Imaging 1. Acquire the B-Mode image. See “Brightness Mode (B-Mode/2D) Imaging” on page 7-13. 2. Enter Pulse Wave (PW) Doppler mode: SmartCart/SmartCart sp Press D Mode button. Scan Engine a. Press PW Mode button. b. Press Menu Control to view PW Doppler menu. - Or a. Press Mode to view Mode menu. Select PW-mode. b. Press Menu Control to view PW Doppler menu. 3. The screen splits into a reference image on top and the PW strip underneath.
PW Doppler Controls Table 7-4. PW Doppler Controls PW Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing. Gain ✱ ■ Adjust Gain using outer ring of D Mode button. ■ Adjust gain using Gain knob. Or ■ Select Gain. Press Left / Right function on Menu Control to increase or decrease desired gain of Doppler spectrum. Selected value displays in PW Doppler Status area.
7 Table 7-4. PW Doppler Controls (Continued) PW Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing. Update ✱ ■ Press Update softkey to toggle between live update of B-Mode image concurrent with live PW Doppler spectrum, or frozen B-Mode image with live Doppler spectrum. ■ When using frozen B-Mode image with live Doppler, press Set to toggle between pausing the 2D image display and the scrolling PW strip.
Table 7-4. PW Doppler Controls (Continued) PW Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing. SmartCart/SmartCart sp Tints ■ Press Menu button. Highlight Tints. Move Trackball left/right (or press Set buttons) to select desired Tint to apply to strip. There are five tints. NOTE: Tints can also be applied to 2D images and strips in M and CW Doppler modes. Gate Size ■ Press Menu button. Highlight Gate Size with Trackball.
7 Table 7-4. PW Doppler Controls (Continued) PW Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing. Sweep Speed ✱ NOTE: See “Sweep Speed” on page 10-7 for data on sweep speeds (mm/s) when ECG is active. ■ Press Menu button. Highlight Sweep Speed with Trackball. Move Trackball left/right (or press left/right Set buttons) to choose sweep rate selection (Low, Medium, High). Selected value displays to left of PW-strip.
Table 7-4. PW Doppler Controls (Continued) PW Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing. Zoom ■ Press Zoom button. The ROI (region of interest) box displays around PW gate in image. Define the ROI: Use Trackball. Press Set to toggle between ROI position and ROI size. ■ Select Zoom. Press Select button to enable Zoom function. The ROI (region of interest) box displays around PW gate in image.
7 Table 7-4. PW Doppler Controls (Continued) PW Control SmartCart/SmartCart sp Scan Engine ✱ Indicates that this control is also available in retrospective processing. Auto-Dop Trace ■ Double-click Measure button or press assigned Function/Mode to activate Auto-Dop Trace. ■ Single-click Measure button to remove tracing from PW spectrum and to bring it back on. Single click does not deactivate Auto-Dop Trace.
Triplex Mode Auto-Dop Trace Triplex mode allows the user to visualize B-Mode, Color or Power Doppler, and PW Doppler modes simultaneously. • As with Duplex mode, an available Update option pauses either the 2D image display (B and Color) or the scrolling PW strip. • The Update ON/OFF control is the same as for Duplex mode. The Auto-Dop Trace feature provides automatic tracing of waveforms on a PW Doppler strip. IMPORTANT: Only a basic overview of Auto-Dop Trace is provided in this chapter.
7 Indicates you are in Autotrace mode. Figure 7-21. PW Autotrace Icon - Doppler Data Field 3. Select the desired measurement (e.g., RI) and press Set to initiate the Trace. 4. To select a different measurement or calc, press Measure or Calc button to display menu. Make your selection and press Set. To Deactivate Auto-Dop Trace Three methods: • Press Function/Mode key assigned to Autotrace (see page 9-46). • Double-click Measure button.
4. While in CW imaging, the 2D image is in Update mode. Press the Set button to update the 2D image and reposition the CW cursor. NOTE: Duplex and Triplex modes are not available while in CW mode. NOTE: You can also activate CW imaging by programming one of the Mode keys on the user interface. Go to Setup button | System Setup | Keys | Mode 1-4 to program the selected Mode key. To Activate Aux CW Doppler Imaging 1. Connect A2CW or A5CW transducer to Aux CW port on front of the Cart. 2.
7 Table 7-5. CW Doppler Controls (Continued) CW Control SmartCart * Indicates this control is also available in retrospective processing. SmartCart/SmartCart sp Tints ■ Press Menu button. Highlight Tints. Move Trackball left/right (or press Set buttons) to select desired Tint to apply to strip. There are five tints. NOTE: Tints can also be applied to 2D images and strips in M and PW Doppler modes. Dynamic Range ■ Press Menu button. Highlight Dyn Range with Trackball.
Table 7-5. CW Doppler Controls (Continued) CW Control SmartCart * Indicates this control is also available in retrospective processing. Maps ✱ ■ Press Menu button. Highlight Maps. Move Trackball Left / Right to choose preferred grey-scale maps (M1, M2, M3, M4) to be used in spectral Doppler. ■ Press Menu button. Highlight A Output. Move Trackball Left / Right to increase or decrease transmit power output level selected. Current transmit power level is displayed (as a percentage; 25%, 50%, etc.
7 NOTE: See page 11-11 for more information about storing 3D Volume Data. Start Stop Quality Render MPR HIGH BAL FAST TOMO Softkey Buttons (push) Angle 45 Static Real-Time Softkey Toggle Switches (up/down) Softkey Rotary Buttons (turn) Figure 7-23. 3D/4D Preprocessing Softkey Display Enter 3D Mode 1. Connect 3D transducer (C8-33D or E9-33D) to MTP. System will calibrate and self-test transducer motor. 2. Acquire and optimize 2D/B-Mode image. 3. Press Mode key you programmed for 3D.
Figure 7-24. 3D Setup Mode Status Field 5. To adjust acquisition quality (QA in the status field), press Quality softkey to cycle through options: HIGH, BALANCED, and FAST. NOTE: The default is HIGH, which results in highest resolution but slowest acquisition time. Choose BALANCE or FAST if faster acquisition times are desired. 6. To adjust elevation sweep angle (E in status field), press Angle softkey; each press changes sweep angle, which is distance across sweep path.
7 9. When done, system enters 3D/4D Postprocessing mode. For OB Presets, the default 3D/4D postprocessing mode is 3D Surface render mode (Render). NOTE: There are 3 postprocessing modes: Surface, MPR (multi-planar reconstruction), and Tomo (Tomogram). Postprocessin g Modes Render Mode The imaging screen displays the surface volume image in a large format with the three orthogonal image planes in a small format. The volume image (V) is the active window by default.
14. To adjust brightness, turn B-Mode button or Brightness softkey. 15. To increase/decrease the magnification factor, toggle Depth button. MPR Mode MPR mode displays orthogonal planes (A, B & C) vertically; larger image is blow up of active image (Figure 7-27). Figure 7-27.
7 Figure 7-28. MPR Mode - Thick Slice Tomo Mode In Tomo mode, 9 images are displayed (9-up) with one image as reference for slices (Figure 7-29). Figure 7-29. Tomo Mode Display 7-60 z.one ultra and z.
Features include the following abilities: • Change line spacing between slices in mm and position of the set of lines using the Trackball • Select reference image (one only) using softkey • Toggle between One-up and 9-up • Perform measurements on One-up image (Figure 7-30) • Toggle slice lines' orientation from vertical to horizontal via softkey Figure 7-30.
7 Table 7-6.
Table 7-6. 3D/4D Controls - Volume Acquisition Processing (Continued) Control Volume Rotation SmartCart/SmartCart sp ■ Press to rotate the volume to one of 4 discrete degrees: 0 / 90 / 180 / 270 ■ Default is 270 degrees ■ Turn to move through the volume set: XYZ ■ Turn to rotate the selected plane or volume ■ Press to switch the axes.
7 Table 7-6. 3D/4D Controls - Volume Acquisition Processing (Continued) Control Render Smoothing SmartCart/SmartCart sp ■ Press arrows to select the amount of smoothing desired: 0/1/2/3/4/5 Invert ■ Least = 0 ■ Default is 3 ■ Chosen option displays on Data Display ■ Toggles On / Off ■ Inverts volume image to black on white Elastography Elastography (or tissue elasticity imaging) is an imaging modality that detects relative differences in tissue stiffness.
[Elastography Image] [B-Mode Image] Figure 7-31. Elastography Default Image Display - Dual To exit Dual display and view only the Elastography image: SmartCart Press Dual button. SmartCart sp Press Menu button and use Trackball to highlight and select Dual. Scan Engine Using Menu Control, scroll down to highlight and select Dual: Off selection. To exit Elastography mode: All Systems Change imaging mode to B, CD/PD, PW, or M-Mode.
7 Relative (Normalized) Strain Absolute Strain 7-66 z.one ultra and z.
Cross-Correlation Assessment Elastography User Controls Elastography user controls are accessed via the Control Panel (all systems), softkey displays (SmartCart/SmartCart sp), and Imaging menu options (all systems). These are described in Table 7-7 on page 7-68. Filter Scale Gain Strain Norm Strain Cross Corr Compound ON/OFF Figure 7-32. Elastography Softkeys - SmartCart/SmartCart sp z.one ultra and z.
7 * Indicates this control is also available in retrospective processing. Table 7-7. Elastography User Controls Control Dual: OFF/ON ✱ SmartCart & SmartCart sp NOTE: B-Mode image displays on right and Elastography image displays on left for concurrent comparison/analysis. Scan Engine ■ On Imaging menu, highlight Dual. Press Select button to toggle ON/OFF. ■ Display Imaging menu and increase/ decrease Frequency SmartCart SmartCart ■ Press Dual button to toggle Dual imaging function ON/OFF.
Table 7-7. Elastography User Controls (Continued) Control SmartCart & SmartCart sp Compounding Scan Engine ■ Press Compounding softkey to toggle Compounding ON/OFF. ■ Display Imaging menu and toggle Compounding ON/OFF ■ Rotate Cross Corr softkey to select desired strain acquisition format; then press knob to activate selection. ■ Display Imaging menu and select desired strain acquisition format. ■ Rotate Gain softkey to control the level of estimated strain range displayed.
7 Table 7-7. Elastography User Controls (Continued) Control Filter SmartCart & SmartCart sp ✱ ■ Press Filter softkey to select F0, F1, or F2. Increasing Filter improves estimated strain acquisition at expense of detail resolution and temporal continuity. Scan Engine ■ On Imaging menu, select desired Filter setting, F0, F1, or F2. Scan Engine Elastography Imaging Menu: All Systems Maps ✱ ■ Press Menu button and select desired Map: M1, M2, M3, M4, M5. SmartCart/ SmartCart sp Figure 7-33.
Table 7-7. Elastography User Controls (Continued) Control Edge SmartCart & SmartCart sp ✱ ■ Scan Engine Press Menu button and select desired Edge setting: E0, E1, E2, or E3. NOTE: Edge allows for more or less spatial smoothing of display. SmartCart/ SmartCart sp Elastography Measurements To Access Measurements for Elastography 1. Freeze the desired Elastography image. 2. Press Measure button. The Measurement options will display on the Imaging menu. Figure 7-34.
7 To Do an Area (trace or ellipse) 1. Display the Measurements menu (see “To Access Measurements for Elastography” on page 7-71). 2. Highlight and select Area (trace) or Area (ellipse). 3. Use Trackball to draw a trace/ellipse on the B-Mode image. Draw the trace/ ellipse on the perimeter of the area of interest. The trace/ellipse will also appear on the Elastography image. Press Enter button.
Retrospective Processing Elastography may be enabled/disabled during live, frozen, or cine imaging, or when reviewing IQ Scan B-Mode images. Ocular Preset WARNING: To avoid injury to the patient, use only the Ocular Preset when performing imaging through the eye. The FDA has established lower acoustic energy limits for ophthalmic use. The system will not exceed these limits only if the Ocular Preset is selected.
7 Exam/Preset Acoustic Output % Acoustic Output MI Figure 7-38. Ocular Imaging Screen Contrast Imaging NOTE: For SmartCart/SmartCart sp systems only. Contrast Imaging is a harmonic detection mode specifically designed to enhance ultrasound contrast agent signals. Similar to 2D (B-Mode), a suite of additional optimization controls are provided to further enhance contrast agent imaging performance.
NOTE: Once a Mode key is defined, it will remain so unless the system configuration is reset to factory default settings. 2. Connect and activate a transducer enabled for Contrast Imaging: P4-1c (Cardiac) or C4-1 (Abdominal). 3. Select an appropriate Preset for the application. 4. While imaging the desired anatomy, press Mode/Function key you programmed for Contrast. • For P4-1c, system enters Contrast mode & displays single image.
7 Table 7-8. Contrast Imaging User Controls (Continued) Control Stopwatch STOP/START Softkey SmartCart & SmartCart sp ■ Press START to start timer from 0:00:00 (hours:minutes:seconds) or from the last stopped time (if was not reset). Accuracy is within 1 second. ■ Press STOP to stop elapsed (and active phase times, if using phases). Elapsed time (and phase times) will remain displayed onscreen. NOTE: See also “Clip/Image Store (Protocol Button - SmartCart only)” on page 7-12.
Table 7-8. Contrast Imaging User Controls (Continued) Control SmartCart & SmartCart sp Control Panel Controls Depth ■ Press Depth button Up to decrease depth; press Down to increase depth. SmartCart/SmartCart sp Harmonics SmartCart ■ Press TH button to toggle On/Off tissue harmonic imaging. When harmonic imaging is active, an H displays in the Image Information area. SmartCart sp SmartCart ■ Press Frequency button to cycle through the transmit frequency choices.
7 Table 7-8. Contrast Imaging User Controls (Continued) Control Dual: OFF/ON SmartCart & SmartCart sp NOTE: B-Mode image displays on right and Contrast image displays on left for concurrent comparison/analysis. SmartCart ■ SmartCart Press Dual button to toggle Dual imaging ON/OFF. SmartCart sp ■ Press Menu button and use Trackball to highlight and select Dual. Dynamic Range ■ Press the Menu button. Highlight Dyn Range with the Trackball.
Table 7-8. Contrast Imaging User Controls (Continued) Control SmartCart & SmartCart sp Maps ■ Press Menu button. Highlight Maps with Trackball. Move Trackball Left / Right to select desired tissue grey-scale map to be applied to image. L/R Invert ■ Press the Menu button. Highlight L/R Invert with the Trackball. Press Set to invert the L/R orientation of the image. The transducer orientation marker (Zonare “Z”) moves from the left to the right of the Image area. U/D Invert ■ Press the Menu button.
7 Table 7-8. Contrast Imaging User Controls (Continued) Control Optimize SmartCart & SmartCart sp Overall / DGC Gain ■ SmartCart/SmartCart sp Press the Optimize button to automatically balance the Overall/DGC gain. The B-Mode image will adjust the brightness of the image to the default Target Gain value. Sound Speed Correction ■ Press and hold down the Optimize button to automatically compensate for the sound speed in tissue.
8 8 Annotations The user can enter text annotation, body pattern graphics, and arrow graphics on live images, frozen images, stored images during in-progress exam review (open exam), and stored images from restarted exams. Annotations and graphics can be stored with: ■ The frozen image in the open exam ■ Stored images during in-progress exam review ■ Stored images from restarted exams Annotations and graphics can be intermixed and placed on the image in any order.
8 List Text Entries List1, List2, and List3 menus are application-specific terms defined by the user. List entries can be placed anywhere on the screen except for the image title bar and menu area. Arrow Graphic The arrow is free moving and can be placed anywhere on the screen except for the image title bar and the menu area. As many as 15 arrows may be placed on the image. Body Pattern Graphics One Body Pattern graphic can be placed from an Exam-specific Body Patterns menu.
8 Checkboxes Define Lists Checkbox Description Enable Body Pattern OLED Button Check this box to enable the Body Pattern softkey (2nd from far right). Press the softkey to cycle through the Body Patterns available for the active Preset. Enabled in B- and M-Modes only. Display Body Pattern OLED Menu Check this box to view a special Body Pattern softkey display that has been user-configured for the Preset. Press the Body Pattern softkey (above) to show this display.
8 To Add Item to a List 1. Click on the desired List name in the List dropdown box. Figure 8-3. List Dropdown Box 2. Type the name of the Item you want to add in the box (the example below shows KIDNEY). Then click the Add softkey. KIDNEY is now an item on this List. Figure 8-4. New Item Added to a List To Remove Item from a List 1. Highlight the Item you want to delete. 2. Click the Remove softkey. The Item is removed from the List. 8-4 z.one ultra and z.
8 To Move Item Up or Down in List 1. Highlight the Item you want to move. 2. Click the Move up or down arrow to move the Item. Each click moves the Item one place up or down. To Rename a List 1. In the List dropdown box (Figure 8-3), select the List name you want to change. 2. Then click the Rename softkey. 3. Type the new name in the box (the example below shows CARDIAC1). Then click Apply. The List has now been renamed. Figure 8-5.
8 ■ When the cursor moves to a new position after the user enters text, the previous text string is considered complete and text entry will begin at the new cursor location. • If the cursor is moved back into the string and text entry continues, text will be in the Overwrite mode. POTS and Lists ■ There can be up to three POT entries (one for each key) and three List entries (one for each key) in a block of text. • Only one instance of a particular POT key may exist in a block.
8 Overwrite Mode 1. Place the Text cursor between the desired characters to start Overwrite Mode. 2. When typing, the characters to the right of the cursor will be replaced by the new characters. Block Text Manipulation Block text can be moved to another location: 1. Using the Set button, double-click within the block of text. The block will now be highlighted in yellow. 2. Use Trackball to move text to the desired location. 3. Single-click the Set button to anchor the text.
8 To Enter POT from Qwerty Keyboard: 1. Press the Text key or Spacebar on the keyboard to display the text cursor. 2. Use the Trackball to move the text cursor to the desired position. 3. Press one of the POT keys on the keyboard. The first POT value will display, and then the text cursor moves to the right of the displayed value. NOTE: The POT keys are cycling keys. Press a POT key to replace the currently displayed value with the next value. 4.
8 3. Press the List1 key on the keyboard. The first list value displays, and the text cursor then moves to the right of the displayed value. NOTE: The List keys are cycling keys, each press replacing the currently displayed value with the next value. 4. Continue pressing the List1 key until the desired value is displayed. 5. Press the List2 key. The first list value displays and the text cursor then moves to the right of the displayed value. 6.
8 3. Unfreeze the image. The System remembers the last cursor position, and then the cursor defaults to the previous position when annotation mode is entered the next time. 8-10 z.one ultra and z.
Annotation Procedures - Scan Engine To Place Annotations 1. From the Tools menu or the Freeze menu, use Menu Control to scroll to the Annotate menu item, and then press the Select button. 2. On the Annotate menu, highlight Text and press Select. The green text cursor appears at the default Home position and the virtual keyboard (VKB) displays. 3. Use the Trackball to move the text cursor to another position. Annotations can now be entered at the cursor position. 4.
8 NOTE: The user can enter POT values without first pressing the Text key. When a POT key is pressed and no text cursor is displayed, the POT is entered at the Home position or at the last text cursor position if text was previously invoked. The text cursor displays to the right of the POT value. The VKB also displays. To Enter List Text 1. From the Tools menu or the Freeze menu, use Menu Control to scroll to the Annotate menu item, and then press the Select key to display the Annotate menu. 2.
8 Graphics Procedures - SmartCart/SmartCart sp See “Body Pattern Graphics” on page 17-9 for a complete list of the available Body Pattern graphics and associated Exam Types. See “List Keys/Annotation Configuration” on page 8-2 for information on configuring Body Pattern graphics. To Activate Display of Body Patterns Press the Body Pattern key on the SmartCart/SmartCart sp QWERTY keyboard. An initial default Body Pattern specific to the Exam type in use will appear at the bottom of the display.
8 To Use Arrows Arrows can be used during live or frozen imaging. As many as 15 arrows can be displayed at one time. 1. Press the key on the keyboard. A green arrow displays in the center of the imaging area. The message Arrow graphic positioning also displays. 2. Use the Trackball to position the arrow. If green, that arrow is removed. Pressing is pressed while an arrow is does not remove any arrows that have previously been locked in position. 3.
Graphics Procedures - Scan Engine See “Body Pattern Graphics” on page 17-9 for a complete list of the available Body Pattern graphics and associated Exam Types. See “List Keys/Annotation Configuration” on page 8-2 for information on configuring Body Pattern graphics. To Activate Display of Body Patterns 1. From the Tools menu or the Freeze menu, use Menu Control to scroll to the Body Patterns menu item, and then press the Select button. 2.
8 1. From the Tools menu or the Freeze menu, use Menu Control to scroll to the Annotate selection. 2. Use Menu Control to scroll to the Arrows menu item, and then press the Select button. A green arrow displays in the center of the imaging area and the message Arrow graphic positioning also displays. 3. Use the Trackball to position the arrow. 4. Press the Set button to enable arrow rotation about its point. The message Arrow graphic rotation also displays. 5. Use the Trackball to rotate the arrow.
Dual Imaging Annotations - All Systems Text, POTS, Lists, Body Patterns, and Arrows may be entered on each pane of a Dual image. To Enable Dual Imaging Annotations 1. Go to Setup button | System Setup | Annotations, and press Select. 2. On the Annotation Preset Configuration screen (Figure 8-1 on page 8-2), check the box next to Dual Imaging Annotations and click Apply.
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9 9 Measurements and Calculations NOTE: For Cardiac calculations and imaging, see Chapter 10 Echocardiography Option. With the SmartCart/SmartCart sp the user can perform a full range of measurements and calculations on live, frozen, and stored images from an open exam and on stored images from an archived exam. Each imaging mode supports a specific mode-dependent Generic measurement package. Only the measurements available for the active imaging mode are listed in the current Measurement menu.
9 Tools for Measurements and Calculations Freeze The image must be frozen before most measurements and calculations can be performed on it. • Measure and Calcs Menus To freeze an image, press Freeze button. ■ User can directly access Measure menu by pressing Measure button. ■ User can directly access exam Calc measurements by pressing Calc button. Figure 9-2.
upon Freeze option is On (see Figure 9-5) and a Calculation Package is active when an un-Freeze occurs, the Calculation Package will automatically be reactivated the next time Freeze is entered as long as the Operator has not changed modes in the interim. Otherwise, it is necessary to manually reactivate the Calculation Package the next time Freeze is entered. Fetus A, B, C, D, E The OB calc package can be used to collect data on up to five fetuses, labeled Fetus A, B, C, etc.
9 When working with Calc Packages, the data in the DDB is stored when the measurements have been completed (locked down). To complete measurements, press the Enter button (SmartCart), Enter/Select button (SmartCart sp), Select button (Scan Engine), or Store/Print. Measurements made when working with calculation packages are highlighted in reverse in the DDB to indicate results have been recorded on the associated Worksheet/Report.
SmartCart/SmartCart sp Figure 9-4. Calcs Menu 2. The General selection displays the General Configuration screen. Figure 9-5.
9 Worksheets and Reports NOTE: For information on other Worksheets/Reports available on the system, see “User Customizable Worksheets” on page 9-7 and “DICOM Structured Reports” on page 13-14. Each Calc Package includes associated Worksheet and Report pages. All completed measurement and calculation results are automatically populated to the Worksheet/Report for the selected Calc Package.
Editing Worksheets Selecting Worksheet and Report Displays ■ Date Data Field: The date data field accepts only a date in the format selected in system setup. ■ Highly Restricted Data Field: This highly restricted data field accepts only certain characters; for example, the BPP data field accepts only 0 (zero) or 2. All other characters are ignored. ■ Checkbox: This checkbox toggles between two states: activated (checked) and deactivated (unchecked).
9 2. Go to Figure 13-12, “DICOM Network Storage Destination Screen,” on page 13-10, and configure a Storage Destination for custom reports (Figure 9-6). Be sure to also check boxes for SR Document and SR Private Data under Object Type heading. Click Apply. NOTE: You can configure your [Default Archive] as the Storage Destination as long as you check boxes for SR Document and SR Private Data as described in step above. Figure 9-6. Example: Custom Reports Storage Destination 3.
Figure 9-8. Custom Report Pages Screen 3. Insert USB stick containing custom User Worksheet templates (filename: MasterWorksheet.wst) into USB port on the system. 4. Message will display: No worksheets available. Use Import/Restore to get the worksheets. 5. Click the Import softkey on the Custom Report Pages screen. Message will display: Proceed with updates? Click Yes. The custom User Worksheet templates will load. 6. Select transducer from Transducer drop-down list (e.g., P4-1c). 7.
9 8. Assign User Worksheet for desired Preset from Worksheet drop-down list. This list displays all User Worksheets available on the system. 9. Click Apply to assign selected User Worksheet to Preset(s). When message Proceed with preset updates appears, select YES. 10. To view standard ZONARE Worksheets and new User Worksheets during an exam (e.g., Cardio/General or Cardio/Difficult), press Report button on Control Panel.
• Data entered in User Worksheets is saved with exam’s Calc data. Data is restored when an exam is opened for review or restarted. Restored data is included in custom worksheets and reports. • Users can export one or more User Worksheet templates in XML format to a USB stick. This file format can be used for import to another ZONARE system. • When an archived exam is exported to media, the exported exam folder includes all custom worksheet templates in the archived exam folder.
9 Figure 9-10. Printer/Export Configuration Screen 3. Make your selections (table below) and click Apply. Table 9-2.
Table 9-2. Calcs Printer/Export Parameters (Continued) Parameter Setting Paper Size • Letter • A4 • Select for letter-size paper • Select for A4-size paper Print/Export on End of Exam ■ Select to transfer Report/Worksheet data at end of exam Only Export Final Report Results ■ Select to export final Report only; not Worksheets Printer IP Address ■ Select network printer in drop-down box * You can print OB/GYN reports directly to a qualified printer; see “Printing OB & GYN Reports” below.
9 Exporting Report Data to Serial Device Users can export Report data from OB/GYN, Abdominal, Vascular, and Cardiac report packages (via the USB port of the SmartCart/SmartCart sp or Scan Engine) for use by third-party off-line software. • A USB-to-serial port adapter (not provided by ZONARE) must be inserted into one of the SmartCart/SmartCart sp's USB ports to enable connectivity to the RS-232 serial port on a third-party workstation.
To Export Data 1. Make sure the targeted Export system is connected to one of the external USB ports of the System. 2. Perform the desired calculations and measurements on the scan. 3. To Export the data, select Export at the bottom of the Report page. NOTE: If the Export was configured for Print/Export on End of Exam, data will be automatically exported at the end of the current exam.
9 NOTE: The first item in the Measure menu is auto-selected when the user selects Measure. 3. Use Trackball to position caliper to desired location within image display. The DDB updates Depth result as user positions caliper within image. 4. Press Set button to fix first Distance caliper and activate second Distance caliper. 5. Use Trackball to position caliper to desired location. 6. Press Enter (SmartCart), Enter/Select (SmartCart sp), or Select (Scan Engine) to lock calipers in position.
4. Use Trackball to position caliper to desired location within image. The DDB displays Depth and updates result as user positions caliper within image. 5. Press Set button to fix first caliper and activate second caliper, displaying a circle connecting two calipers. 6. Use Trackball to position caliper to desired location within image. The DDB displays circumference and area of circle, and system updates results as user positions caliper within image. 7.
9 NOTE: Any gap in the outline between first and second Trace calipers will be automatically closed by a straight connecting line when second Trace caliper position is fixed. 8. To undo any portions of the trace: SmartCart Press Delete button; each press removes last small dot SmartCart sp Press Back/Delete button; each press removes last small dot Scan Engine Press Back button; each press removes last small dot 9.
To Measure Depth Live Image 1. Display a live M-Mode strip image. 2. Press Measure button. 3. Use Trackball to position cursor (vertical line) and caliper (horizontal line on cursor) to desired location within strip display. The DDB displays Depth result as user positions cursor/caliper within strip image. 4. Press Measure button to remove Depth caliper and return to live imaging. Frozen Image 1. Freeze an M-Mode strip image. 2. Press Measure button. 3. Highlight and select Distance.
9 6. To activate additional distance measurements (up to a maximum of four), press Enter button (Enter/Select button on SmartCart sp) twice - once to complete the current measurement instance and a second time to invoke another Distance measurement instance. 7. Press Measure button to remove Distance tools and exit Measure mode. PW Doppler Mode Velocity Velocity is measured (relative to selected Scale and Baseline position) at the caliper’s position in the PW Doppler strip.
To Measure Resistive Index (RI) 1. Freeze the display with a PW Doppler strip image. 2. Press the Measure button. 3. Highlight and select RI. 4. The PSV caliper will be displayed. 5. Use the Trackball to position the caliper to the desired location within the PW Doppler strip display. At this time, the DDB only displays the PSV velocity result and updates the result as the user positions the caliper is positioned. 6.
9 • Only a single PI measurement can be performed at any given time. NOTE: In the DDB, Max velocity is identified as PSV (Peak Systolic Velocity) and Min velocity is identified as MDV (Minimum Diastolic Velocity). To Measure Pulsatility Index (PI) 1. Freeze the display with a PW Doppler strip image. 2. Press the Measure button. 3. Highlight and select PI. 4. The first PW trace caliper will be displayed. 5.
11. Press the Set button to fix the PSV velocity caliper and activate the MDV velocity caliper. NOTE: If the absolute value of the MDV velocity result is greater than the current PSV result, the MDV and PSV result displays are swapped and the caliper becomes a PSV caliper. The converse is also true, when the absolute value of the PSV velocity result is less than the current MDV result.
9 NOTE: Acceleration is always calculated in the direction of positive time. The velocity caliper positioned at the earliest strip time is always the startpoint (and the other caliper is the endpoint) for calculating the delta velocity (DeltaV), delta time (AT), and acceleration (Accel) results. NOTE: Pressing the Set button again toggles the active caliper selection between the first and second velocity calipers, allowing positional corrections to be made to both caliper instances within the strip image.
NOTE: Pressing the Set button again toggles the active caliper selection between the first and second velocity calipers, allowing positional corrections to be made to both caliper instances within the strip image. 8. Press the Measure button to remove the S/D tools and exit Measure mode. A/B Ratio The A/B Ratio is defined as V1/V2, where V1 and V2 velocities obtained by two PW Velocity caliper measurements separated by an Unfreeze/Freeze cycle.
9 11. Press the Measure button to remove the A/B tools and exit Measure mode. OB Calculation Package The OB Exam type includes an extensive selection of supported measurements and their associated calculations. The actual measurement availability is determined by the OB Setup configuration as well as the Preset selection and the active imaging mode when the OB Calculation Package is invoked. SmartCart/SmartCart sp Figure 9-12.
Table 9-3. OB Calcs (Continued) B-Mode PW Doppler HC MCA CEREB HR BOD GYN M-Mode AC TTD AD FL TIB FIB HL RAD ULNA AFI [Q1/Q2/Q3/Q4] GYN NOTE: Measurements from the Generic measurement package are also available when the OB Exam Type is selected, and can be accessed by pressing the Measure button. Pressing the Measure button exits the OB Calculations Package if it was active. The following specific OB calculations are available for the Fetal Heart preset. Table 9-4.
9 Table 9-4. Fetal Heart Calcs (Continued) B-Mode PW Doppler RV Diam [Sys/Dia] MPA IVS [Sys/Dia] Duct Art LV Diam [Sys/Dia] IVC LVPW [Sys/Dia] Duct Ven Heart Circ OB M-Mode Thor Circ OB OB Worksheets and Reports Figure 9-13. OB Worksheet (page 1) 9-28 z.one ultra and z.
Figure 9-14. OB Worksheet (page 2) Figure 9-15. OB Worksheet (page 3) z.one ultra and z.
9 Figure 9-16. OB Worksheet (page 4) Figure 9-17. OB Worksheet (page 5) 9-30 z.one ultra and z.
Figure 9-18. OB Report NOTE: The actual contents and layout (including the number of pages displayed) for the OB Worksheet and Report will depend on the measurements enabled in OB Setup and the results that have been entered into the OB Calculations Package. OB Calculation Trending OB Trending currently only supports manual entry of a patient’s prior OB Calculations for the current Patient exam.
9 Figure 9-19. OB Worksheet - Trending Page NOTE: OB Trending requires the date for each prior exam entered and an LMP date for the current exam. The LMP data can be entered on the first OB Worksheet page or on the OB Trending Worksheet page. If entered on the first OB Worksheet page, the LMP date will be transferred to the OB Trending Worksheet page and vice versa.
OB Trending data will only be displayed on the graphs when the data are selected to be plotted for the Clinical (LMP); data are not presented on the graph if Ultrasound is selected. Procedures for OB Calculation Packages To Acquire GS Calculation 1. Optimize the B-Mode image of the GS (gestational sac). 2. Press Freeze to open the Freeze menu and freeze the B-Mode image. 3. To view the Calculations menu: SmartCart/SmartCart sp Press Calc button Scan Engine Select Calc 4.
9 12. To activate the first Distance caliper of the third pair, Freeze the new image and: SmartCart Press Calc SmartCart sp Press Enter/Select button. Press Set button to activate next caliper. Scan Engine Select Calculations 13. Use the Trackball to position the first Distance caliper of the third pair to the desired location within the image display. 14. Press the Set button to lock the first Distance caliper of the third pair. This will activate the second Distance caliper of the third pair. 15.
Scan Engine Select Calculations 5. Heart Rate (HR) is active by default. A green vertical bar displays on the scroll. 6. Use the Trackball to position the green vertical bar at the beginning of a cardiac deflection. Press Set to lock the position of the bar. A second bar becomes active. 7. Use the Trackball to position the second vertical bar at the beginning of the next cardiac deflection (the number of cycles to use is configured on the Calcs General Configuration screen; see Figure 9-5 on page 9-5). 8.
9 Abdominal Package Aorta B-Mode PW Doppler Aorta AP [prox/mid/dst/renl] CIA [right/left] Aorta trans [prox/mid/dst/renl EIA [right/left] Aneurysm Aorta [prox/renl/mid/dist R CIA [prox/mid/dist] Celiac [1/2] R EIA [prox/mid/dist] SMA [1/2/3] L CIA [prox/mid/dist] Hepatic A L EIA [prox/mid/dist] Splenic A GDA IMA Bowel B-Mode PW Doppler Appendix Appendix Wall Pylorus Pylorus Wall 9-36 z.one ultra and z.
GB B-Mode PW Doppler GB Vol GB Wall CBD [prox/mid/dst] Liver/Spleen B-Mode PW Doppler Liver Vol Shunt Spleen Vol Main Portal V Hepatic PS Conflnce Sup Mesen V Splenic Pancreas B-Mode PW Doppler Pancreas [head/neck/body/tail] Panc Duct [prox/mid/dist] Renal B-Mode PW Doppler [Right/Left] [Right/Left] Renal Vol Renal RI [orig/prox/mid/dst] Renal V Renal AT [orig/prox/mid/dst] Adrenal Vol Ren A1 RI [orig/prox/mid/dst] Ureter [rplv/prox/mid/dst] Ren A1 AT [orig/prox/mid/dst] Ren A2 RI [orig/
9 B-Mode PW Doppler Hilum AT [sup/mid/inf] Interlobar RI [sup/mid/inf] Interlobar AT [sup/mid/inf] Arcuate RI [sup/mid/dst] Arcuate AT [sup/mid/dst] Bladder B-Mode PW Doppler Bladder Vol Fluid Gyn and Follicular Package B-Mode PW Doppler [Right/Left] [Right/Left] Uterine Size Ovary RI Endo Thick Ovary PI Ovary Vol [D1/D2/D3] Uterus RI Follicle Diam* (x 15) Uterus PI Follicle Vol* (x 15) OB OB * Setup configuration NOTE: For Follicle Diam/Vol measurements, double-clicking the Set button
Pediatric Hip Package B-Mode PW Doppler [Right/Left] [Right/Left] Hip Angle [Base/Bony/Cart] Endo Thick Ovary Vol [D1/D2/D3] Follicle Diam* (x 15) Follicle Vol* (x 15) OB * Setup configuration To Acquire Pediatric Hip Angle 1. Optimize the B-Mode image. 2. Freeze the image. 3. To view the Calculations menu: SmartCart/SmartCart sp Press Calc Scan Engine Select Calculations 4. Hip Angle (Base) is active by default. A green (+) caliper tool is displayed on the image. Iliac Baseline 1.
9 6. A second caliper tool becomes active for the next Hip Angle measurement component. Bony Roofline 1. Use the Trackball to position the green caliper tool at the beginning of bony roofline. 2. Press Set to lock the position of the caliper tool. A second caliper tool becomes active. 3. Use the Trackball to position the second caliper tool along the iliac baseline.
The Worksheet ■ To view the Worksheet: SmartCart/SmartCart sp Press Report Scan Engine ■ Select Report from the Calculations menu To edit the Worksheet, highlight the value to be edited, the press Del Text or use Bksp to type replacement text. The Report ■ To review the Report: SmartCart/SmartCart sp Press Report Scan Engine Select Report from the Calculations menu Vascular Packages Carotid Calc Package Upper Extremity Arterial Calc Package z.one ultra and z.
9 Grafts Submenu Selections B-Mode PW Doppler Grafts* Grafts Vel* [Right/Left] [Right/Left] Native [inflow/outflow] Native [inflow/outflow] Anast [prx/dst] Prx Anst [pre/max/post] Graft [prx/mid/dst] Graft [prx/mid/dst] Dst Anst [pre/max/post] Lower Extremity Arterial Calc Package 9-42 z.one ultra and z.
Lower Extremity Venous Calc Package 2D/B Mode New! Upper Extremity Venous Calc Package 2D/B Mode and Doppler z.one ultra and z.
9 Venous Measurements * Figure 9-21. Vascular Calcs Page 8 * Closure (valve closure time) = reflux. To Measure AP and Transverse Vein Diameters You can measure AP and Transverse diameters of veins (available with all Venous Presets: Venous-LE, Venous-Calf, Venous-UE). 1. Acquire 2D image, then Freeze. 2. Press Calcs, then choose vein site you scanned. 3. Press Set, then measure AP or Transverse diameter. 4. Press Enter, then measure other dimension.
New! see below for details Figure 9-22. Auto-Dop Trace Configuration Screen To Configure Default Settings The following parameters are configurable for Auto-Dop Trace: ■ Calculation Set The Exam types listed below can be selected for calculations performed while in Auto-Dop Trace. Abdominal Vascular Obstetrics Pediatric Gynecology Small Parts NOTE: Some of the Exam types are available only with specific transducer selections.
9 ■ Autotrace Default • measurements - Select to automatically display Measure menu when you activate Auto-Dop Trace. To switch to Calcs menu during the Autotrace, press Calc button. • calculations - Select to automatically display Calcs menu when you activate Auto-Dop Trace. To switch to Measure menu during the Autotrace, press Measure button. Assign Function/Mode Key 1. Assign a Function or Mode key to activate Autotrace. See Figure 7-7 on page 7-10. To Activate Auto-Dop Trace See page 7-51.
Auto Parameters The user can override the default Auto-Dop Trace settings that were configured on the Auto-Dop Trace Configuration screen (Figure 9-22). Changes for Auto-Dop Trace are available within the Autotrace menu. Figure 9-23. Auto Params Measure Menu To Access Auto Params Menu 1. While in live PW Doppler mode, double-click Measure button. 2. Press Menu button to display the menu and select Auto Params.
9 Enter, Enter/Select, or Select. Additionally, Autotrace Calc results can only be entered from a frozen strip display (not 'live' or Cine Play). • While Auto-Dop Trace is active, the Doppler envelope will be outlined in green. When you freeze the strip, Automeasure numbers are displayed at the bottom right side of the image. • When the image is frozen, vertical BLUE line graphics delimiters will appear on the PW strip. A small yellow arrow will appear at the top to mark the peak systolic velocity.
Figure 9-24. Auto-Dop Trace - Automeasure (Single Cycle) Figure 9-25. Auto-Dop Trace - Automeasure (Multiple Cycles) Volume Flow To Measure Volume Flow 1. Acquire PW Doppler spectrum (spectral strip must be live). 2. Double-click Measure button. Measure menu appears. 3. Select Vol Flow (bottom of menu) and press Set. z.one ultra and z.
9 4. On next menu are three selections: Vessel Diam, PW Gate Size, and Start Trace. 5. Highlight Vessel Diam. Then use Trackball or Set button to position horizontal lines on inner diameter of vessel. Vessel diameter represents diameter of flow area that blood passes through. 6. Next, highlight PW Gate Size. Then use Trackball or Set button to position PW Gate within vessel diameter to encompass entire flow. 7. Next, select Start Trace and press Set. 8.
Measurement Accuracy The description of the fundamental accuracy of 2D, time, and velocity measurements applies to all transducer types. 2D Measurement Accuracy Because distance is a measure of the relative separation between two pixels in the image, distance is not affected by the delay tolerances in the front-end echo acquisition system, including variations in the response times of the transducer and analog electronics.
9 ■ Elapsed Time or Rate Measurement Accuracy The above accuracy statements are consistent with 2D measurement tests performed using a Gammex 403GS phantom with 0.5 dB/cm-MHz attenuation and a sound speed of 1540 m/s. In M-Mode and PW Doppler, strip records of tissue motion or blood velocities over time are produced.
Table 9-7. PW Strip: Scan Engine Displays Sweep Speed (pixels/sec) Sweep Speed (sec) Error in Measurement (1.0 sec) 360 1.4 0.4% 180 2.7 0.8% 120 4.1 1.3% 90 5.4 1.7% 60 8.1 2.5% Table 9-8. PW Strip: SmartCart/SmartCart sp Display Sweep Speed (pixels/sec) Sweep Speed (sec) Error in Measurement (1.0 sec) 360 1.9 0.2% 240 2.8 0.6% 180 3.7 0.8% 120 5.6 1.3% 90 7.5 1.
9 Registration Accuracy in CD For CD scanning of Gammex Model 1425A Doppler Flow Phantom with a sound speed of 1540 cm/sec, the registration error between CD and 2D mode is generally less than 1.0 mm. PW Doppler Velocity Measurement Accuracy While CD gives an indication (at many points simultaneously) of the presence or absence of flow and its dynamic behavior during the cardiovascular cycle, PW Doppler provides a more precise quantification of flow velocity within the PW sample volume.
10 10 Echocardiography Option Cardiac Calculation Package NOTE: The Echocardiography option is available only on SmartCart workstations. NOTE: See also “User Customizable Worksheets” on page 9-7 for information about new Worksheets/Report for Cardiac Calc Package. The Cardiac Exam Type includes a selection of supported measurements and their associated calculations. The available measurements are configured on the Cardiac Configuration screen.
10 3. Select the options you want, then click Apply to save your changes. 4. Then click the arrow button at the bottom of the screen to go to page 2. * * New Figure 10-2. Page 2: Cardiac Measurements 5. Select the measurements you want, then click Apply to save your changes. NOTE: You enter the patient’s height and weight on the Patient Information Form. Figure 10-3. Patient Information Form: Height & Weight for Cardiac Exam 10-2 z.one ultra and z.
The following calculations are listed in the Cardiac Report and are available for the Cardiac Exam Preset: Table 10-1.
10 Table 10-1. Cardiac Calculations - 2D (B-Mode) (Continued) Cardiac Exam Preset: Available 2D (B-Mode) Calculations LV Mass Epi/Endo Length LA Volume Apical 4 Volume Apical 2 Volume Mitral Vena Contracta MR PISA Radius Shunts RVOT LVOT Table 10-2. Cardiac Calculations - M-Mode Cardiac Exam Preset: Available M-Mode Calculations Aorta AoR LA AoCS Mitral D-E excursion MV E-F Slope EPSS LV Diastole RV Wall RVID IVS LVID LVPW Systole RV Wall RVID IVS LVID LVPW HR 10-4 z.one ultra and z.
Table 10-3. Cardiac Calculations - Doppler Cardiac Exam Preset: Available Doppler Calculations NOTE: Auto-Dop Trace is not available with Cardiac Calculations.
10 The ECG trace is part of the Cardiac Exam Preset and automatically scrolls at the bottom of the 2D image. In strip modes (M, PW, and CW modes) the ECG trace will default to the top of the strip. The ECG trace position can be adjusted anyplace within the strip box. WARNING: The ECG is not intended for ECG diagnosis. It must not be used for intraoperative applications of the heart. Use only the recommended patient cable supplied by ZONARE.
Exit Sweep Speed On/Off Size/ Position Figure 10-5. ECG Softkey Controls Table 10-4. ECG Softkey Controls Control Description Exit ■ Removes the ECG controls from the OLED but still allows the ECG trace to scroll On/Off ■ Turns ECG On/Off Sweep Speed ■ Controls the ECG sweep speed (Min, Low, Med, High) Size/Position ■ Press the knob to activate Size or Position. ■ With Size active: Turn the knob to change the size of the ECG.
10 M-Mode Calculations To Perform M-Mode Cardiac Calculations 1. Obtain the desired M-Mode image and press the Freeze button. 2. Press the Calc button and use Trackball to highlight and select the desired measurement (Aorta, Mitral, LV)n. 3. When the measurement is chosen, use Trackball to cycle up/down, left/right. 4. The first caliper will appear on screen. 5. Use Trackball to position the first caliper. Press the Set button to fix the first caliper and activate the next caliper(s). 6.
9. To edit the Worksheet, highlight the value to be edited, then press the Delete button or use the Backspace key on the QWERTY keyboard. Figure 10-9. Cardiac Worksheet: Aorta, LV 2D Calculations (Trace/Mark Function) To Perform 2D Calculations (LV Function, LA Volume) 1. Obtain the desired 2D image and press the Freeze button. 2. Press the Calc button and use Trackball to highlight and select the desired measurement (LV Function, LA Volume). 3.
10 8. To view the Cardiac Worksheet, press Report. 9. To edit the Worksheet, highlight the value to be edited, then press the Delete button or use the Backspace key on the QWERTY keyboard. Figure 10-10. Cardiac Worksheet: LV Function, LA Volume Doppler Calculations To Perform Doppler Calculations NOTE: Auto-Dop Trace is not available with Cardiac Calculations. 1. Obtain the desired Doppler image and press the Freeze button. 2.
7. Repeat steps 1 - 6 for any additional measurements. 8. To view the Cardiac Worksheet, press Report. 9. To edit the Worksheet, highlight the value to be edited, then press the Delete button or use the Backspace key on the QWERTY keyboard. Figure 10-11. Cardiac Worksheet: Doppler Heart Rate Measurements To Perform Heart Rate Measurements You can obtain a Heart Rate value while in M-Mode or Doppler. M-Mode 1. Freeze the image showing either the Aortic or Mitral Valve. 2.
10 Image Width Button (SmartCart only) The Image Width button allows you to have a narrow sector, which gives you higher frame rates while in 2D or Color Doppler modes. The size is completely customizable. To Use Image Width Button 1. Press the Image Width button. The image mode defaults to panning, allowing you to move the sector left or right. 2. Press the Set button. This allows you to change the size. 3. Once the size has been adjusted, press the Set button again to resume panning. Figure 10-12.
PW/CW/TDI (Pulsed Wave/ Continuous Wave/Tissue Doppler Imaging) To Select Desired Doppler Mode 1. Press the D button to begin PW display. 2. Turn the right-most softkey to select the desired Doppler mode - options are CW, PW, and TDI [tissue doppler imaging]. TDI CW PW • Turn to select desired Doppler mode • Then press to activate selection Figure 10-14. Doppler Mode Softkey (far right on SmartCart softkey panel) 3. To activate the selected Doppler mode, press the same softkey.
10 Doppler Data Field PW Functionality Mode A 0* Angle 2.0MHz Frequency G68 Gain WF M Wall Filter (high, medium, low) DR60 Dynamic Range M3 Map Med Sweep Speed (min, low, med, high, max SVD 7.9 Sample Volume Depth SV 2 Sample Volume Gate Size (mm) 40 Nyquist Limit (Scale) Figure 10-16. PW Doppler - Doppler Data Field & Legend NOTE: For a list of the controls available during PW Doppler imaging, see Table 7-4 on page 7-45.
Doppler Data Field Functionality CW Mode 2.0MHz Frequency G72 Gain WF H Wall Filter (high, medium, low) DR60 Dynamic Range M3 Map Med Sweep Speed (min, low, med, high, max FD 6.7 Focal Depth 150 Nyquist Limit (Scale) Figure 10-18. CW Doppler - Doppler Data Field & Legend NOTE: For a list of the controls available during CW Doppler imaging, see Table 7-5 on page 7-53. Doppler Data Field AUX CW Functionality Mode Card/Aux.CW Exam Preset 2.
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11 11 Archive and Review ■ Any screen displayed in the Image area can be saved (stored) electronically to the Scan Engine’s internal hard drive. • Ultrasound images and data screens are stored as screen images in DICOM format (.DCM files). ■ ZONARE ultrasound systems can also be used for capturing dynamic clips of real-time image frame sequences. • The number of still images or clips that can be stored for an exam is limited only by the capacity of the internal storage media.
11 Image files cannot be retrieved from network storage for review on the System. These files can, however, be sent to a network review station directly from the System. Preparation for Archive & Review Storage Media Screen On the Storage Media screen, the user configures the Modality for the DICOM Worklist server (if DICOM is activated on the System) and the compression level and quality for storing still images and clips. To access the Storage Media screen, go to Setup | System Setup | Archive | Media.
Table 11-1. Storage Media Screen Parameters Parameter Description General Modality Select from pull-down menu modality that will be specified to the DICOM Worklist server; Default: US - Ultrasound. Or check the Assign from Modality Worklist box to use the modality specified by the DICOM Worklist server. Hard Drive Verify Option ■ Minimum = Default. Minimum significantly reduces the time and system resources needed to verify hard drive.
11 • The JPEG Lossy method provides a significant reduction in file size (more compression than RLE Lossless or None) with some loss of raw data during the transfer. When JPEG Lossy compression type is selected, the user can specify the level of compression (and resultant loss) using the Compression Quality (85-100%) scale slider. To Select Compression Level 1. Using the drop-down box in the Compression Level field, select the desired level of compression that will be used for Still Image Storage.
Table 11-2. Exam Export Options Option Description Remove embedded icon/thumbnail image ■ Check to remove icon/thumbnail; reduces size of exported file. Compression Type ■ See “Compression Settings” on page 11-3. Quality ■ See “Compression Settings” on page 11-3. Color Model ■ See “Color Model” on page 13-12. To Store to FTP You can store exam data/images directly to an FTP site. See “FTP Storage” on page 13-21.
11 * Not applicable * Figure 11-4. Image Store/Print Buttons Screen To print (by pressing Print or Store button) when Live Capture in Print/Store *section is set for Clip, first freeze image by pressing Freeze button. NOTE: The section Exams Restarted Using that used to appear on this screen can now be found on the Patient Exam Management screen (page 11-36). Table 11-3.
Table 11-3. Image Store/Print Buttons Screen Parameters (Continued) Parameter Description Live Capture Options: Still Image Type ■ Clip: If ultrasound image is live (Freeze button not depressed), pressing Store or Print button will capture a realtime Clip sequence to the selected Network/External Storage device. The duration (in seconds) of Clip is configured using the Protocol button. For detailed information, see “Clip/ Image Store (Protocol Button - SmartCart only)” on page 7-12.
11 Table 11-3. Image Store/Print Buttons Screen Parameters (Continued) Parameter Description Image Transfer Mode If Image Transfer Mode is configured, images are immediately stored to the internal storage media each time the Store (or Print, if configured) button is pressed. The timing for when the images are actually sent to the target printer or network storage device is user configurable.
Still & Clip Image Store The Store and/or Print buttons can be configured to send the currently displayed still image (single frame) or a sequence of live imaging frames (clip image store in live mode) to the internal hard drive. Media Storage selections for each of the buttons is configured on the Image Store/Print Button screen (Figure 11-4). To Store Single-Frame Image (SmartCart/SmartCart sp/Scan Engine) 1. Press the Freeze button to freeze the image.
11 IQ Scan Data The IQ Scan feature allows you to store raw source (prescan converted/ processed) ultrasound data to the internal storage and make retrospective adjustments to 2D, Color, and spectral Doppler. After these adjustments are made, you can restore the newly adjusted image. However, due to the raw ultrasound data process involved in IQ Scan image capture, storage space on the internal archive will fill up more quickly and image store times may be noticeably longer.
6. While IQ Data is playing back, you can store a clip with the new parameter settings. NOTE: You can also Freeze the clip, scroll through the frames, make adjustments, and Store a single frame as a still image. To Store Strip (PW or M-Mode) Mode - IQ Scan 1. To store strip mode (Spectral Doppler or M-Mode) into IQ Scan Data, freeze the desired strip and store with Store button associated with IQ Scan. To Review Cine IQ Data: Strip (PW or M-Mode) or 2D Modes 1.
11 DICOM Transfer of Clip Image Stores Store and Print buttons may be configured to send clip images to DICOM network storage devices. See Chapter 13 for detailed information on this procedure. If the DICOM storage device (PACS system) at the installation site does not accept clip stores (accepts still images only), the system should be configured for Still/ Single-Frame Image in the DICOM Network Storage Destination screen (see Figure 13-12, page 13-10).
• Press Back key twice. The first press displays Current Exam review menu; the second press returns to live imaging. NOTE: See also “Clip/Cine Review (Frozen)” on page 7-12. To View Images in Current Exam: Scan Engine Users can access archive and review functions via the Tools tab on the Scan Engine (Figure 11-6). → Figure 11-6. Scan Engine Tools Tab - View Current and Submenu 1. Using Menu Control, highlight the View Current item on the Tools tab and press the Select button.
11 To Play a Clip Image From Review 1. Use Pg Fwd/Back or Trackball to find the desired Clip (movie icon distinguishes image as a Clip). 2. Press Freeze to play the Clip. Press Freeze again to stop the Clip. 3. When Clip is frozen, use the Trackball to move through individual frames if desired. Archived Exams: Review Procedures The Archive Exam Selection Table (Figure 11-7) is a database of all exams stored on the System.
c. Place the pointer to the left of the desired parameter(s) on the pull-down menu, and press the Set button to check (select) or uncheck (un-select) each item as desired. Figure 11-8. Archive Exam Selection Table Pull-Down Menu 3. To select a sort variable: a. Using the Trackball, move the pointer over the desired column heading. b. Press the Set button. The Find data field moves over the selected column and the column is noted by an asterisk.
11 a. With the wrong exam still highlighted, move pointer over desired exam and press Set button to highlight exam. b. Move pointer over wrong exam and press Set button. The highlighting is removed from wrong exam. c. Press Set button to open desired exam and display its images. NOTE: If more than one exam is selected (highlighted), you cannot open any images. De-select exam(s) until only one exam is highlighted, then proceed as indicated above.
3. If the wrong exam is selected: a. With the wrong exam still highlighted, move the pointer over the desired exam and press the Set button to highlight the desired exam. b. Move the pointer over the wrong exam and press the Set button. The highlighting is removed from the wrong exam. c. Press the Set button to open the desired exam and display its images.
11 11. The images are deleted and the System returns to live imaging. If the user opens a current exam or archived exam for review again, the deleted images are replaced by other images in the exam so that there are no blank spaces. To Delete Single or Multiple Exams 1. Press the Archive key on the keyboard to display the Archive Exam Selection Table (Figure 11-7). 2. Use the Trackball to move the pointer over the desired exam and press the Set button to highlight the exam.
7. Multiple full-size images can be tagged for deletion by using the Pg Back and Pg Fwd keys to select the desired images and then selecting the Delete key. 8. To untag an image for deletion, select an image with a red X through it and use Menu Control to scroll to Delete and press the Select button. The red X is removed. 9. To complete the delete operation, exit current exam review or archived image review as described earlier in this chapter. 10.
11 Storing Archived Exams to DICOM Devices SmartCart/SmartCart sp Systems can store archived exams to DICOM storage devices. This might be required if the Scan Engine has been used to perform exams while in standalone mode or if the DICOM network experienced connectivity problems. For more information on DICOM, see Chapter 13 “DICOM and FTP Connectivity”. To Store Archived Exams to DICOM Storage Devices 1. Press Archive key on the keyboard to display Archive Exam Selection Table (Figure 11-7). 2.
6. The Patient Information screen displays, populated with patient demographic data from restarted exam. User can continue exam as with a new exam. NOTE: The default for Restart will place any additional images within the original series of images; this is the Prior Series. To place new, additional images within a New Series, see Figure 11-19, “Patient Exam Management Screen,” on page 11-36. To Restart an Exam (Scan Engine) 1. Open Patient Information screen (Figure 7-1, page 7-1). 2.
11 Figure 11-9. Archive Exam Export Screen 3. In Destination field, select Cart HD and press Set button. 4. In Archive field, select exam to export and press Set button. 5. Click Export. NOTE: Multiple exams can be selected (highlighted) by using the same method. All exams can be selected (highlighted) by clicking on the Select All key. Once the exam(s) are selected, they can be “deselected” by clicking on them a second time. 6. A message appears when Export task is completed.
1. Insert a blank disc into drive. Disc icon imaging screen. will appear in upper left corner of NOTE: Wide variability in CD and DVD quality may prevent the system from reliably writing to and reading from some commercially available discs. ZONARE has tested the CD and DVD in the table below and currently recommends their use. For up-to-date CD/DVD recommendations, go to: www.zonare.com/products/ accessories. Manufacturer CD-R Maxell DVD+R Taiyo Yuden Part No.
11 To Customize Archive Exam Export Options 1. On Archive Exam Export screen (Figure 11-9), use Trackball and Set button to select Options softkey. 2. The Archive Exam Export Options screen displays. New! Figure 11-10. Archive Exam Export Options Screen 3. Use Trackball and Set button to make desired selections on Archive Exam Export Options screen. Then select Apply to save the new settings. NOTE: Changes made to Export Options on this screen will apply to future exams.
Table 11-4. Archive Exam Export Options (Continued) Parameter Description Remove identity of patient(s) ■ To remove the identity of patient(s), check the box next to Remove identity of patient(s). When this option is selected and the patient identity is removed from the exported image, the patient identity cannot be restored in the exported image. By default, the identify of the patient is not removed from the exported images.
11 Table 11-4. Archive Exam Export Options (Continued) Parameter Description SR Private Data ■ Default is unchecked. For most users, this is the correct setting. If checked, raw calculation data in XML format is appended to structured report files, increasing file size and requiring more system memory. See “User Customizable Worksheets” on page 9-7.
7. Select Yes if you want only keyed images to export. 8. Use Export feature as described above. Only selected images (with Key icons) will export to the archive media. Showcase® CD/DVD Viewer Basics During the export procedure, the DICOM Showcase viewer is automatically written to the disc along with the selected exams. Showcase allows you to review the images on any PC with a CD/DVD drive (see “PC Requirements” below) that can read CD-R or DVD+R discs.
11 To View Studies on Exported CD/DVD 1. Insert the disc into the appropriate drive on your PC. The Zonare DICOM Viewer (Showcase) will automatically load and display the Directories screen on your PC monitor. NOTE: For first-time users, select the Help tab and read the contents of the Help file. The viewer is simple to use and the Help file is not long. You may want to print each page for future reference. 2. The Directories screen (below) shows all the studies on the CD/DVD.
■ To view an image or clip in larger format, double-click it. An enlarged image appears that can be annotated and exported/saved to your PC (see “Enlarged Image/Clip Screen” on page 11-31 for more information). Table 11-5. Showcase Series Screen - Navigation Button/Key Description NOTE: You are using a customized version of the Showcase software. Features that are not available are disabled (grayed out). The buttons below are all fully operable with your Showcase Viewer.
11 Table 11-5.
Table 11-5. Showcase Series Screen - Navigation (Continued) Button/Key ■ Move to the first image in the set ■ Move to the last image in the set ↑ (up arrow) ■ Move up one row of images ↓ (down arrow) ■ Move down one row of images ■ Exit Home End Alt-FX Enlarged Image/Clip Screen Description Images/clips can be adjusted (contrast/brightness), annotated, and exported/ saved to your PC via the Enlarged Image/Clip screen. Tabs Figure 11-14. Enlarged Image/Clip Screen Table 11-6.
11 Table 11-6. Showcase Image/Clip Screen - Navigation (Continued) Tab/Control Description Click to view the full-resolution image. Click to adjust contrast/brightness. Click to annotate the image with text and arrows; crop; set playback speed; save annotated images in Bitmap, TIFF, JPEG, or AVI (clips) formats on your PC (see also “AVI Compression” on page 11-32). Click to View DICOM information for the study.
To Export Clips and Set AVI Compression 1. View the study in the Series window. 2. Highlight the selected clip and click displays. . The Export Images screen Figure 11-15. Export Images Screen 3. Select AVI and then click Change button. The Choose Compressor screen will display. Figure 11-16. Choose Compressor Screen 4. To view a list of AVI Compressors available on your PC, click the arrow shown in Figure 11-16. The drop-down box (Figure 11-17) will display your choices. z.one ultra and z.
11 Figure 11-17. Compressor Options Drop-Down Box 5. To set Compression Quality (Figure 11-16), click the arrows to increase/ decrease quality. NOTE: The default is 75%. The higher the number, the better the resolution but the larger the file. If the compressor is set to 0%, the size of the file is smaller but resolution is degraded. If you have further questions about the ShowCase Viewer, you can email TrilliumTechnology at support@TrilTech.com.
Figure 11-18. Archive Exam Import Screen 4. Use Trackball and Set button to highlight desired source device (USB Memory Stick) in Source Device table. 5. The contents (exams) of the selected source device will populate in Contents of Source Device list. 6. Use Trackball and Set button to highlight exam(s) on Contents of Source Device to be imported from USB Memory Stick. NOTE: Multiple exams can be selected (highlighted) by using the same method.
11 Patient Exam Management Screen On the Patient Exam Management screen, users can perform tasks such as configuring exam restart options, rebuilding patient exam databases, erasing all patient data, and formatting storage media data. Figure 11-19. Patient Exam Management Screen To Access the Patient Exam Management Screen 1. Go to Setup | System Setup | Archive | Exam Mgmt. The Patient Exam Management screen displays. 2. Select your choice for restarting exams. Then click Apply.
Table 11-7. Patient Exam Management Parameters (Continued) Parameters Description Patient exam database rebuild helper files ■ Only applies to patient exams on Scanner SSD or Cart HD. ■ Helper files are small files that maintain summary information about the most recent activity for an exam. There is at most one helper file (e.g., exam summary file) per exam.
Table 11-7. Patient Exam Management Parameters (Continued) Parameters Description Study description option: ■ Box for Auto Option is not checked (the default): Enables User to enter text into the Study Description field on the Patient Information screen (Figure 7-1, page 7-1). ■ Box for Auto Option is checked: System automatically populates the Study Description field with the Exam Type. User cannot enter text in this field when box is This page intentionally blankchecked.
12 12 Printers and Peripherals NOTE: For information and pricing on ZONARE system upgrades & features, transducers, accessories, and peripherals, please call 1-877-966-2731, ext. 3. This chapter provides basic operating instructions for use of peripheral devices that are sold by ZONARE (as an option) for use on the following systems: SmartCart/SmartCart sp • • • AVED - Audio Video Extension Device Sony UP-D897 Digital (USB 2.0) Black & White Printer Sony UP-D25MD Digital (USB 2.
12 Follow guidelines provided by IEC 60601 when connecting peripherals (e.g., VCR). Figure 12-1. AVED (Audio-Video Extension Device) The AVED box receives its input via a remotely connected cable at the HDMI port on the rear of the SmartCart/SmartCart sp. AVED converts the digital video and audio information from the SmartCart/SmartCart sp into a variety of analog video formats. The I/O ports and their functions on the AVED are listed in Table 12-1. Status LED Figure 12-2. AVED I/O Panel Table 12-1.
Status LED The status LED (Figure 12-2) displays the current status of I/O activities as follows: Blinking Pattern I/O Status Three short blinks of LED followed by one long Off of LED; pattern repeats HDMI IN connected but box “Idle” (no out) One long blink of LED followed by one AVED initialized; video active but audio not long Off of LED; pattern repeats LED remains constantly On AVED Video Output Microphone Recording Coded audio detected; video and audio active Video output is as follows: • NT
12 The following section assumes that the Sony UP-D897 B&W USB Printer has already been mounted on the SmartCart/SmartCart sp and properly connected to the System. ■ For information on installation/hook-up, see the Proc, Installation, Sony UP-D897 B&W USB Printer (ZONARE P/N: S00075-00) document provided in the installation kit shipped from ZONARE with each printer. This information is also provided in the z.one ultra Service Manual.
NOTE: Due to its physical size, the Sony UP-D25MD printer is not mountable within the chassis of the SmartCart/SmartCart sp. The printer requires only a power and USB cable (no mounting hardware). To Set Up 1. Attach AC power cable and USB print cable to the back of the UP-D25MD printer. 2. Connect AC power cable to an open receptacle in the room. 3. Connect the USB data cable between the USB port on the Sony UP-D25MD printer and any of the USB ports at the rear of the SmartCart/SmartCart sp.
12 Figure 12-5. Printer Screen 3. Using the pull-down menu under the Type selection, select Local/USB and press the Set button. 4. The menu will change to the setup page for a USB printer. Figure 12-6. Printer Setup Screen: Local/USB 5. Type the name of the printer into the Nick Name field: for example, SONY UP-D897 or SONY UP-D25MD or whatever Nick Name you have chosen to identify the printer. 6. Set other print parameters as desired. See documentation that came with the printer. 7.
Figure 12-7. Image Store/Print Buttons Screen: Print Section 2. In the Print section of the screen, check the box to the left of the Network/USB Printer selection (Figure 12-7 above). 3. In the drop-down menu next to Network/USB Printer, select the target USB printer. Select Apply to save the settings.
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13 13 DICOM and FTP Connectivity DICOM connectivity is an optional software feature on SmartCart/SmartCart sp systems. When activated and configured, DICOM connectivity enables the ZONARE ultrasound systems to exchange data – including ultrasound images and associated patient and exam data – with DICOM-compliant archive devices, output devices, and worklist applications over an institution’s network. Each such device must be configured as described in this chapter.
13 Figure 13-1. Network Configuration Screen 3. Fill in the data fields (see Table 13-1). Use the QWERTY Tab key (or Trackball and Set button) to advance to the next data field. 4. To save and exit, select Apply. Table 13-1. Network Configuration Parameters 13-2 Parameter Description IP Address The Internet (TCP/IP) address that is assigned to the Zonare ultrasound system for its identity on the facility’s network.
Wireless Network Connectivity ZONARE supports wireless connectivity using the Quatech AirborneDirect Wireless Ethernet Bridge (supported model is the ABDG-ET-DP501-1). This is a plug-and-play wireless networking solution that is compatible with all ZONARE ultrasound systems that support Ethernet connectivity. A special power cable, however, is required to supply power to the Quatech AirborneDirect device from the ZONARE system USB bus for portable operations.
13 Location The Location feature allows users to quickly activate network/DICOM functionality when moving the System to different physical locations where the network setup and target DICOM devices use a different set of parameters. The parameters saved as part of each unique Location are: • Setup button | System Setup | Archive | Network settings (local IP Address, Gateway, Netmask) • Setup button | System Setup | Archive | DICOM | General settings (local AE Title, etc.
4. Click Apply to save the new Location Profile. 5. The Location name now appears in the Location submenu. → Figure 13-4. Location Menu Item and Submenu with New Location Listed 6. The Location name also appears in the Current Exam section of the SmartCart/SmartCart sp Imaging screen. Name of current Location Figure 13-5.
13 General To Configure General DICOM Parameters 1. Make sure the System has a live Ethernet connection to the target DICOM devices. NOTE: DICOM parameters can be configured while disconnected from the Ethernet connection, but testing will not be possible. Live Inactive Figure 13-7. Ethernet Connection Icon NOTE: Ethernet connection icon displays lower right of imaging view (Scan Engine) and upper left corner of display if not in full-screen mode (SmartCart/ SmartCart sp). 2.
Table 13-2. DICOM General Configuration Parameters (Continued) Parameter Description Station Name User-defined name identifying the ultrasound system. Should be provided by the network administrator. e.g., ZONARE TCP Timeout (sec) Maximum duration (seconds) of waiting time for completion of TCP transfers over the network. Set according to anticipated network type/speed. Queue Timeout (sec) Maximum amount of time a DICOM job will remain active in the queue before it times out.
13 Figure 13-9. Printer Administration Screen 4. Select New or Edit. The Printer screen displays. Figure 13-10. Printer Screen 5. Fill in the data fields (Table 13-3). Use the QWERTY Tab key (or Trackball and Set button) to advance to the next data field. 6. Select Apply to save the configuration and return to the Printer Administration screen. 7. To check the connection: a. Select Ping on the Printer Administration screen. 13-8 z.one ultra and z.
If a low-level network connection has been made, the following message appears: ICMP Echo: xx.xx.xx.xx is alive [xx.xx.xx.xx is the IP address of the configured device]. If a connection has not been made, the following message appears: ICMP Echo: xx.xx.xx.xx timed out [xx.xx.xx.xx is the IP address of the configured device]. b. Select Verify on the Printer Administration screen.
13 Network Storage To Configure a DICOM Network Storage Destination 1. Make sure the System has a live Ethernet connection to the target DICOM devices (Figure 13-7). NOTE: DICOM parameters can be configured while disconnected from the Ethernet connection, but testing will not be possible. 2. Go to: Setup | System Setup | Archive | DICOM | Network Store 3. The DICOM Network Storage Administration screen displays. Figure 13-11. DICOM Network Storage Administration Screen 4.
5. Fill in the data fields (see Table 13-4). Use the QWERTY Tab key (or Trackball and Set button) to advance to the next data field. 6. Select Apply to save the configuration and return to the DICOM Network Storage Administration screen (Figure 13-11). 7. To check the connection: a. Select Ping. If a low-level network connection has been made, the following message appears: ICMP Echo: xx.xx.xx.xx is alive [xx.xx.xx.xx is the IP address of the configured device].
13 Table 13-4. DICOM Network Storage Destination Parameters (Continued) Parameter Description Color Model Method to be used by the DICOM receiving device for interpreting the different bit level values within transferred images. (Photometric Interpretation) Selections: No Color Checkbox Palette Color True Color (RGB) - Color by Pixel True Color (RGB) - Color by Plane Grayscale (MONOCHROME2) Default is unchecked.
Table 13-4. DICOM Network Storage Destination Parameters (Continued) Parameter Description Reconciliation For exams not yet sent to PACS. Makes the patient/study data in all images in a series the same during network storage. The data is taken from the most recent image stored. Required settings or state: Reconciliation (continued) Reconciliation checkbox is checked. Image Transfer Mode on Store/Print setup is Exam Completed. Storage device is mapped to one or more of Store1/Store2/Print.
13 DICOM Structured Reports IMPORTANT: The configuration required for storing DICOM Structured Reports has changed in this software release. If you have previously configured DICOM Structured Reports on your system, you must reconfigure them as described in this section. Structured reports in DICOM format for OB/GYN, Vascular, and Cardiac exams can be stored to a PACS storage device. These reports conform to DICOM standards. See the DICOM Conformance Statement (www.zonare.
Figure 13-13. DICOM MPPS Administration Screen 4. Select New or Edit. The DICOM MPPS Destination screen displays. Figure 13-14. DICOM MPPS Destination Screen 5. Fill in the data fields (see Table 13-5). Use the QWERTY Tab key (or Trackball and Set button) to advance to the next data field. 6. To check the connection: a. Select Ping. If a low-level network connection has been made, the following message appears: ICMP Echo: xx.xx.xx.xx is alive [xx.xx.xx.xx is the IP address of the configured device].
13 ICMP Echo: xx.xx.xx.xx timed out [xx.xx.xx.xx is the IP address of the configured device]. b. Select Verify. If a DICOM-level connection has been made, the following message appears: Verification of communication succeeded If a connection has not been made, the message Connection failure displays. If so, repeat this procedure from Step 1 or contact your network/PACS administrator. 7.
Go to: Setup button | System Setup | Archive | DICOM | Worklist 2. The DICOM Modality Worklist Administration screen displays (Figure 13-15). Figure 13-15. DICOM Modality Worklist Administration Screen 3. Select New or Edit. The DICOM Modality Worklist Server screen displays. Figure 13-16. DICOM Modality Worklist Server Screen 4. Fill in the data fields (see Table 13-6). Use the QWERTY Tab key (or Trackball and Set button) to advance to the next data field. 5.
13 If a low-level network connection has been made, the following message appears: ICMP Echo: xx.xx.xx.xx is alive [xx.xx.xx.xx is the IP address of the configured device]. If a connection has not been made, the following message appears: ICMP Echo: xx.xx.xx.xx timed out [xx.xx.xx.xx is the IP address of the configured device]. b. Select Verify.
Table 13-6. DICOM Worklist Server Parameters (Continued) Parameter Description Scheduled Modality Filters the Worklist by modality (US, CT, MRI, etc.). Set according to department requirements. US: Show entries for ultrasound exams only.
13 To Configure Store/Print Buttons for DICOM Printing 1. Locate the appropriate button configuration section on the Image Store/Print Buttons screen: • Store/Store 1 • Print 2. Place the cursor over the box to the left of the desired entry, then press Set to check the box. 3. Place the arrow over the box to the left of Network/USB Printer and press Set to check the box. 4. Next, place the cursor over the drop-down menu arrow to the right of Network/USB Printer.
FTP Storage Setup 1. Go to System Setup | Archive | FTP | FTP Store. The FTP Storage Administration screen displays. Figure 13-17. FTP Storage Administration Screen 2. Select Default Ftp Host and click Edit. OR Click New to configure another FTP destination. 3. The FTP Storage Destination screen displays. Figure 13-18. FTP Storage Destination Screen z.one ultra and z.
13 4. Fill in the data fields (Table 13-7) and click Apply. The system returns to the FTP Storage Administration screen (Figure 13-17). 5. To check the connection: a. Select Ping on the FTP Storage Administration screen. If a low-level network connection has been made, the following message appears: ICMP Echo: xx.xx.xx.xx is alive [xx.xx.xx.xx is the IP address of the configured device]. If a connection has not been made, the following message appears: ICMP Echo: xx.xx.xx.xx timed out [xx.xx.xx.
Table 13-7. FTP Storage Destination Parameters (Continued) Parameter Description Quality ■ Move slider to select compression quality (see “Compression Settings” on page 11-3). Color Model ■ To change Color Model, check box. Then select desired type from drop-down box: choices are True Color (RGB) Color-by-Pixel; Color (RGB) Color-by-Plane; Grayscale (MONOCHROME2).
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14 14 User Maintenance This chapter describes the maintenance, care, and service that should be performed to maintain the Scan Engine and SmartCart/SmartCart sp workstations in proper operation.
14 Do not use any transducer that has been immersed beyond the specified maximum immersion depth or has been soaked longer than specified time. The battery has a safe-smart device. Do not disassemble or alter the battery. Charge the battery at room temperature. Do not short-circuit battery by directly connecting the positive and negative terminals with metal objects. Do not heat or discard the battery in a fire. Do not expose the battery to temperatures above 120°F (50°C).
Touchscreen Calibration Procedure u To Calibrate the Touchscreen 1. Undock the Scan Engine from the SmartCart/SmartCart sp. Press the release lever to flip open the LCD Display for viewing. 2. Remove the Touchscreen stylus from its storage area in the groove on the top-right edge of the plastic display cover on the Scan Engine. 3. Power on the Scan Engine and allow it to fully boot. 4. Using the Tab key, tab to the Tools tab. 5.
14 • Capturing of system status to LOG files • Capturing current image screen and storing as a *.
Settings To Access the Settings Screen 1. Click Settings on the User Diagnostics Panel (Figure 14-2). Remote Settings for Software Upgrade Options: User name and Password supplied by ZONARE Service Check box for automatic notifications; then select days Remote Settings for Log Reporting Options: User Name and Password supplied by ZONARE Service; Default is unchecked Auto Logging can be set by User; schedules when System logs and errors are sent to ZONARE Service.
14 Figure 14-5. ZPak Battery Status Message; Click OK to close Preset Mgmt/System Setup: Backup/Restore The SmartCart/SmartCart sp has two different categories of customized parameters that can be created from customer-specific settings that are configured by the Operator. These two categories are: • (Exam) Preset Mgmt • System Setup The (Exam) Preset Mgmt category consists of customized image setup parameters (depth, frequency, etc.) that can be created for each transducer for each mode of operation.
4. Press Setup button. The Setup menu displays: Figure 14-6. Setup Button Menu 5. Highlight and select Preset Admin. Figure 14-7. Preset Admin Menu 6. Highlight and select Backup Presets. If a Backup file already exists, the system displays the following message: Figure 14-8. Overwrite Prompt NOTE: If no USB stick is present, the following message displays: Figure 14-9. USB Prompt Click No. Insert USB stick and go back to Step 6 above.
14 To Restore Presets 1. Highlight and select Restore Presets (Figure 14-7). The following menu displays with three options: Figure 14-10. Restore Presets Menu 2. Select All to restore all previously stored user-created Presets. The Restore Configuration screen displays: Figure 14-11. Presets Restore Configuration Screen a. Default is all options checked. Click Restore to begin restoring. The following message will display: Figure 14-12. Confirmation Prompt b. Select Yes.
c. System displays Restore proceeds. as NOTE: If desired, uncheck the options you do not want to Restore. If so, the following message displays when you click Restore. Figure 14-13. Preset Restore Prompt Select Yes to proceed with restore. (Selecting No will abort the restore). 3. Select Exam Type (Figure 14-10) to individually select Presets to be restored based on transducer and exam type. Figure 14-14. Restore Presets | Exam Type Screen a.
14 Figure 14-16. Restore Presets | Single Preset Screen a. Select Transducer, exam type (Category), and user-created Preset, e.g. User2 in the figure. Click Apply. The following message displays: Figure 14-17. Overwrite Prompt b. Select Yes. (Selecting No aborts the restore.) The system restores the Preset. You may select another transducer/exam to restore or click Cancel to return to imaging. System To Back Up System 1. Power on the SmartCart/SmartCart sp or Scan Engine and allow it to fully boot. 2.
Figure 14-18. Backup Configuration Screen 7. All options are checked (default). Click Backup to begin backup. The following message will display: Figure 14-19. Confirmation Prompt 8. Select Yes to proceed. (If you select No, the backup aborts.) 9. System displays as Backup proceeds. NOTE: If desired, uncheck the options you do not want to Backup (Figure 14-18). If so, the system displays Partial Backup in Progress after you click Backup and as backup proceeds. To Restore System Setup 1.
14 Figure 14-20. System Restore Configuration Screen 7. All options are checked (default). Click Restore to begin restore. The following message displays: Figure 14-21. Overwrite Confirmation 8. Click Yes to proceed. (If you select No, the restore aborts.) The system as Restore proceeds. displays NOTE: If desired, uncheck the options you do not want to Restore (Figure 14-20). If so, the system displays Partial Restore in Progress after you click Restore and as restore proceeds.
Figure 14-22. Restore Factory Menu 5. Select All to restore all factory Presets. The following message displays: Figure 14-23. Confirmation Screen a. Click Yes. (If you select No, the restore is aborted.) b. The following message displays: Figure 14-24. Preset Settings On/Off Screen c. Click Yes to keep your presets visible in system menus. (If you select No, the restore proceeds without keeping preset on/off settings.) The system will restore factory presets and shut down. You will need to reboot. 6.
14 Figure 14-26. Preset Settings On/Off Screen c. Click Yes to keep your presets visible in system menus. (If you select No, the restore proceeds without keeping preset on/off settings.) The system will restore factory presets and shut down. You will need to reboot. 7. Select User Configs to delete user configurations and restore factory presets. The following message displays: Figure 14-27. Confirmation Screen d. Click Yes to proceed. (If you select No, the restore aborts.
• Verifying Current System Software Revision 1-650-316-3199 To Verify Current Software Revision The software revision is displayed in the top left corner of the User Diagnostics Panel (Figure 14-2). The software level is indicated by a series of digits, for example, 4.7.95. You can access the User Diagnostics Panel: • Quickly press the Service key on the QWERTY keyboard to display the User Diagnostics Panel.
14 Figure 14-29. Insert Removable Media 6. A software installation dialog box will display on the LCD display: Install media detected. Do you wish to install new software: Yes/No 7. To begin the software installation, press the Select button on the Scan Engine for each of the two (2) dialog boxes that are sequentially displayed. NOTE: If the software revision of the removable media is the same as the current version in the Scan Engine and you want to cancel, select No.
Install media detected. Do you wish to install new software: Yes/No 5. To begin the software installation, press the Select button on the Scan Engine for each of the two (2) dialog boxes that are sequentially displayed. NOTE: If the software revision of the removable media is the same as the current version and you want to cancel, select No. If you want to cancel for any other reason, press the Back key and then manually remove the removable media. 6.
14 3. Press the Power button on the Scan Engine, and then immediately make note of the battery charge LED indicators (located on the lower left side of the Scan Engine; see Figure 4-4 on page 4-5). All four battery LED indicators are lit when the battery is fully charged. The four LED indicators are illuminated in 25% increments: • 4 LEDs = 76-100% charge • 3 LEDs = 51-75% charge • 2 LEDs = 26-50% charge • 1 LED = 0-25% charge 4.
A Low Storage warning will appear when “free” storage falls below a minimum threshold. When you see this warning, immediately export studies to a permanent storage media (USB Memory Stick) and then delete those studies from the internal storage media. If using the SmartCart/SmartCart sp, you can export the exams to the cart’s internal hard drive. If “free” storage reaches zero, the system will automatically create space by deleting the oldest study.
14 WARNING: Do not expose the external case of the LCD Display to any of the following agents: • Cidex • Betadine General SmartCart/ SmartCart sp Exterior Surface Cleaning ■ Do not use disinfectants (such as gluteraldahyde or hydrogen peroxide) or acetone to clean any surfaces on the SmartCart/SmartCart sp or their accessories. ■ Before cleaning, turn off the AC circuit breaker on the SmartCart/SmartCart sp to remove all power from the unit, and remove the battery from the Scan Engine.
WARNING: Bent, broken, or missing pins on the transducer connector may cause poor image quality, including possible mirror image artifact. Be sure to check pins before connecting transducer to the ZONARE ultrasound system. If pins are bent, broken, or missing, do not use the transducer and call ZONARE Technical Support. Bent pins Missing/ damaged pin Figure 14-30. Bent, Broken, or Missing Pins on Transducer Inspecting Transducers Inspect transducers at least weekly for the following problems.
14 System Mechanical & Visual Inspection Verifying System Display 1. Verify the Display is securely mounted to the system. 2. Turn Display left and then right. Verify Display moves freely in both directions. 3. Tilt Display up and then down. Verify Display moves freely in both directions. Verifying System Controls 1. Hold the release button. Raise and lower the system Control Panel. 2. Verify the Control Panel moves up, down, and locks when button released. 3.
Verifying Peripherals B/W and Color Printer 1. Acquire the desired ultrasound image on the SmartCart/SmartCart sp. 2. Press the Freeze button to obtain a static image. 3. Press the Print button to trigger a print of the current onscreen image to the Sony UP-D897MD B/W printer, Olympus P-11 Digital Color Printer, or Sony UP-D25MD Color Printer. 4. If print quality is less than optimal, clean the print head and test again. 5. If necessary, adjust printer settings.
14 When the SmartCart/SmartCart sp is not in use, be certain to leave the power cord connected to an active power receptacle (and the circuit breaker turned ON for the SmartCart/SmartCart sp) to keep the Scan Engine charged. Disposal The SmartCart/SmartCart sp contain lead solder on the circuitry and storage batteries. Follow applicable hospital and/or local regulations to dispose of batteries and electronics properly.
15 15 Troubleshooting ZONARE Contact Information ZONARE Medical Systems Inc. 420 N. Bernardo Avenue Mountain View, CA 94043 USA MePass International Ltd. Windsor House Barnett Way, Barnwood Gloucester CL4 3RT United Kingdom Technical Support North America and Asia Phone support: 1-877-913-9663 or 1-650-316-3199 Email: techsupport@zonare.com Sales support: 1-877-966-2731, salessupport@zonare.com www.zonare.com Europe: Phone support: +49 (913) 1974-9412 Email: service@zonare.de www.zonare.com z.
15 Subsidiaries Germany Zonare Medical Systems GmbH Henkestrasse 91 D-91052 Erlangen, Germany Canada Zonare Canada 464 Osborne Street Beaverton ON L0K 1A0 Canada T 49.9131.974.94.0 F 49.9131.974.94.10 www.zonare.de T 1.866.966.2730 F 705.426.1554 User Troubleshooting Procedures Before calling ZONARE Technical Support, please perform the following troubleshooting procedures on the affected component(s). Do not remove any of the System covers.
Image too soft or hazy • Increase Edge setting • Decrease Persistence setting Image too much contrast • Increase Dynamic Range setting • Decrease Map setting • Use Compounding mode Image grainy • Decrease Edge setting • Increase Frequency • Increase Persistence setting • Use Compounding mode Insufficient resolution • Increase Frequency • Zoom to area of interest • Use Optimize sound speed correction (ZST) • Use a higher frequency transducer for the application Insufficien
15 • In the onscreen menu under the Preset tab, select one of the factory default settings (General, etc.) to determine possible maladjustment of user presets. • Ensure an adequate supply of acoustic coupling gel and good patient/ transducer contact. • Switch to a different transducer to determine if the problem is transducer-specific.
Acoustic Artifacts • Check the placement of the ECG pads on the patient and ensure connectivity of all leads. • Inspect the integrity of the individual ECG lead wires, connections, and attachment at the connector of the main ECG cable harness. • Disconnect the ECG connector from the front of the SmartCart and then reconnect firmly. • If system still fails to operate ECG, contact ZONARE Technical Support.
15 Enhancement is an increased relative amplitude of echoes caused by an intervening structure of low attenuation. Focal enhancement, also known as focal banding, is the increased intensity in the focal region that appears as a brightening of the echoes on the display. Mirror imaging artifact is most commonly seen around the diaphragm; this artifact results from sound reflecting off another reflector and back.
Side lobes (from single-element transducers) and grating lobes (from array transducers) cause objects that are not directly in front of the transducer to be displayed incorrectly in lateral position. Speckle appears as tissue texture close to the transducer but does not correspond to scatterers in tissue. It is produced by ultrasound wave interference and results in general image degradation.
15 • If either component fails to start-up after these steps, contact ZONARE Technical Support. Scan Engine (Undocked) Fails To Power ON System Start-Up Problems Peripheral Problems • Remove the battery from the Scan Engine, and then press the battery charge status button (on the label side of the battery) to ensure that a charge of greater than 25% is available. If the battery charge is insufficient, replace the battery or dock the Scan Engine in the Cart and allow time to recharge the battery.
Printer Error Messages Table 15-1.
15 • Hardware Date of Manufacture If problem continues, call ZONARE Technical Support to verify DICOM option has been purchased for this System. ZONARE hardware serial numbers display the date of manufacture in the last three characters. The format is YYM. For example, the serial number 01234C12A indicates the item was manufactured in January 2012 (YY = 12 = 2012; M = A = January).
16 16 Specifications This chapter provides electrical, connection, physical, environmental, and authorized accessory specifications, including the P8-3TEE transducer. For other transducer-related specifications, see “Acoustic Output” in the 4.3 Safety Manual. Component Specifications Table 16-1. Specifications - SmartCart/SmartCart sp w/Scan Engine Type Parameter Value Electrical Power requirements 100 - 240V~, 50 - 60Hz, 6A max Power consumption (no peripherals) (max.
16 Table 16-1. Specifications - SmartCart/SmartCart sp w/Scan Engine Type Parameter Value Physical (weight) SmartCart 65.3 kg (144 lb) Scan Engine – (w/battery) 2.5 kg (5.6 lb) SmartCart Power Cord 0.6 kg (1.4 lb) USB Printer & Bracket 3.4 kg (7.6 lb) Battery & Bracket 4.1 kg (9.1 lb) MPP, CW, ECG 1.4 kg (3.0 lb) Operating Weight Subtotal 77.4 kg (170.7 lb) Scan Engine Box 1.1 kg (2.4 lb) System Shipping Container 41.5 kg (91.6 lb) TOTAL SHIPPING WEIGHT 120.1 KG (264.
Table 16-2. Specifications - SmartCart/SmartCart sp w/Scan Module Type Environmental (operating) Environmental (storage) Physical (weight) Physical (dimensions) Parameter Value Power consumption (w/ peripherals) (max.) 442W (1512 BTU/Hr) Cooling requirements See power consumption above.
16 Table 16-2. Specifications - SmartCart/SmartCart sp w/Scan Module Type Parameter Value I/O connectors Ethernet (1 port) RJ-45 – 10/100BaseT USB 2.0 (4 ports) USB-Type A (VBUS 5.0V, 0.5A max) External Video (1 Port) DVI (Digital Video Interface) on an industry standard HDMI style connector Table 16-3. Specifications - Battery Charger Type Parameter Value Electrical Power requirements 100 - 240V~, 50 - 60Hz, 1.
Table 16-3. Specifications - Battery Charger (Continued) Type Parameter Value Width 58 mm (2.3 in.) Depth 132 mm (5.2 in.) Table 16-4. Specifications - AC Power Adapter Type Parameter Value Electrical Power requirements 100 - 220V~, 50 - 60Hz, 1.3A max Power Consumption 80W (272 BTU/Hr) Cooling requirements See power consumption above.
16 Table 16-5. Specifications - SmartCart Battery Pack (Continued) Type 16-6 Parameter Value Width 260 mm (10 in) Depth 355 mm (14 in) z.one ultra and z.
17 17 Glossary, Abbreviations, and Body Pattern Graphics This chapter contains a glossary, a list of acronyms, and the Body Pattern graphics used in this manual. If you have other questions, call Technical Support (refer to ZONARE Contact Information on page 15-1). Glossary This glossary includes an alphabetic listing of terms. The American Institute of Ultrasound in Medicine (AIUM) has published, Recommended Ultrasound Terminology, Second Edition, 1997.
17 Curved Array Transducer DDP Data Display Box: The DDP is a reserved space in the bottom-right corner of the image area (on the LCD Display) in which information is displayed about depth of measurement cursor, velocity, and other assorted calculation values. DICOM Digital Imaging and Communication in Medicine: An industry standard used for the storage and printing of digital imaging and associated measurement data files across a wide spectrum of disciplines in the medical field.
PAL Power Doppler Phase Alternating Line: A video standard format setting used in a number of different countries worldwide. See also NTSC. A Doppler imaging mode, displayed in a 2D format, using color to visualize the presence and volume of blood flow in a wide range of flow states. POT Programmed Orientation Text: Palette of pre-created text annotation values (Left/ Right, Sag/Cor, Prx/Mid/Dist, etc.) that can be selected by the Operator for quick on-screen annotation on the ultrasound images.
17 when excited electrically, emit acoustic energy. When the acoustic energy is transmitted into the body, it travels until it encounters an interface or change in tissue properties. At the interface, an echo is formed that returns to the transducer, where this acoustic energy is transformed into electrical energy, processed, and displayed as anatomical information. VKB z.
Abbreviation Meaning BOD biocular distance (diameter); aka IOD (interocular distance - distance between the eyes) BX biopsy CCA common carotid artery CD color doppler CEREB cerebellum CFA common femoral artery CFV common femoral vein CIA common iliac artery Circ circumference; also circulation, depending on Exam type CIV common iliac vein CRL crown rump length CRT cathode ray tube dB decibel DDB data display box Desc Aorta descending aorta DGC depth gain compensation Diam
17 17-6 Abbreviation Meaning EV endovaginal FA femoral artery FV femoral vein Fc center frequency FIB fibula FL femur length GS gestational sac GSV greater saphenous vein GYN gynecology HC head circumference Heart Circ heart circulation HL humeral length HR heart rate ICA internal carotid artery ID internal dimension Innom V innominate vein Int Jug V internal jugular vein IVC inferior vena cava IVRT isovolumic relaxation time IVS interventricular septum Junc junc
Abbreviation Meaning MPA main pulmonary artery MPPS modality performed procedure step MR mitral regurgitation MR Pisa mitral regurgitation Pisa MV mitral valve MV EF mitral valve ejection fraction MV EPPS mitral valve E-point septal separation MV EXC mitral valve excursion NBL nasal bone length NEMA National Electrical Manufacturers Association NT nuchal thickness NTSC National Television Standards Committee OB obstetrics OFD occipital frontal diameter OT outflow tract P pre
17 17-8 Abbreviation Meaning Rad V radial vein RI resistance index ROI region of interest RV right ventricle RVIDd right ventricle internal dimension RVOT right ventricle outflow tract S/D systolic/diastolic Sep septum SF Junc saphenofemoral junction Sino Jct sino-auricular junction Sinus Val sinus valsalva Sten stenosis Subcl subclavian SV doppler sample volume TDI tissue doppler imaging TEI Index myocardial performance index TGC time gain compensation Thor Circ thora
Body Pattern Graphics Body Pattern Graphic Exam Type(s) Body Pattern Graphic Abdomen Exam Type(s) Gynecology Pediatric gyn_ute_long abd_gb Abdomen Gynecology Gynecology Pediatric abd_kidneys gyn_ute_ov Abdomen OB Pediatric Cardiac abd_liver hrt_4ch Abdomen OB Pediatric Cardiac abd_pancreas hrt_5ch Abdomen OB Pediatric Cardiac abd_stomach hrt_arch Vascular OB Cardiac body_arm_back hrt_ductus Vascular OB Cardiac body_arm LT/RT z.one ultra and z.
17 Body Pattern Graphic Exam Type(s) Body Pattern Graphic Vascular body_arm_palm Exam Type(s) OB ob_breech OB OB Gynecology body_gyn ob_breech_breech Pediatric body_head_post OB ob_breech_cephalic Pediatric body_head_sag LT/RT OB ob_cephalic Pediatric body_head_top OB ob_cephalic_breech Vascular body_leg LT/RT OB ob_cephalic_cephalic Vascular body_leg Ant/Post OB ob_trans LT/RT Vascular body_leg_ant_low 17-10 OB ob_LT_LT z.one ultra and z.
Body Pattern Graphic Exam Type(s) Body Pattern Graphic Abdomen Exam Type(s) Small Parts Pediatric body_lld sp_testicles Abdomen OB Pediatric body_lpo & _rpo ob_LT_RT Abdomen OB Pediatric body_lpo_up & _rpo_up ob_RT_LT Abdomen OB Pediatric body_male ob_RT_RT Vascular Small Parts Small Parts body_neck LT/RT sp_breast LT/RT Vascular Small Parts Small Parts body_neck_supine sp_breast2 LT/RT Abdomen Small Parts Pediatric body_prone sp_breast_supine Abdomen Small Parts Pediatric
17 Body Pattern Graphic Exam Type(s) Body Pattern Graphic Abdomen Exam Type(s) Vascular OB Gynecology Small Parts body_supine 17-12 Pediatric vasc_carotid LT/RT z.one ultra and z.
Numerics 3D imaging controls 7-61 3D MPR mode 7-59 3D postprocessing modes 7-58 3D render modes 7-58 3D Tomo mode 7-60 3D/4D imaging 7-55 3D/4D volume data 11-11 A A output 7-26, 7-33, 7-41, 7-49, 7-55, 7-80 A/B ratio 9-25 AC power adapter 4-9, 16-5 acceleration 9-23 access control screen 3-21 acoustic zoom 7-11, 7-40 angle 7-46 Annotation key 7-10 annotation softkeys 8-8 annotations 8-1, 8-5, 11-21 arrows 8-2 block text manipulation 8-7 body pattern graphics 8-2 delete text 8-6 delete word 8-6 dual imagin
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dual mode 7-36 edge 7-41 filter 7-39 flash cancel 7-40 frequency 7-41 gain 7-38 imaging 7-34 invert 7-38 maps 7-39 persistence 7-41 PW Doppler 7-39 scale 7-38 simul (dual) 7-43 simultaneous dual mode 7-36 steer 7-38 zoom 7-40 color doppler menu 7-34 compound imaging 7-19 frequency switch 7-20 compounding 7-26, 7-80 compression settings 11-3 contact information 15-1 continuous wave doppler imaging 7-52 contrast imaging 7-74 activate 7-74 softkeys 7-75 user controls 7-75 control panel 2-7 scan engine 5-3 Smar
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image screen SmartCart/SmartCart sp 3-7 image store/print buttons screen 11-6, 12-7 image transfer mode DICOM 13-20 image troubleshooting 15-2 image width button 7-12, 10-12 imaging problems 15-2 imaging tab 5-7 import options 11-34 import/export exams 11-21 insert mode 8-6 intended use 1-2 internal hard drive (SmartCart/SmartCart sp) 2-7 International Characters 3-20 intracardiac echocardiography 10-15 invert 7-38, 7-45, 7-53 IQ Scan Data 13-13 IQ scan data 11-10, 11-11 J JPEG lossy 11-4 K key icon 11-26
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printer screen 12-6, 13-8 printer/export configuration screen 9-13 printing reports (OB & GYN) 9-13 probe graphic 8-13, 8-15 programmable keys 2-5, 2-6, 7-9 programmed orientation text 8-1, 8-6, 8-7, 8-11 Protocol button 7-12, 11-9 protocol button 10-11 pulsatility index 9-21 PW Doppler 7-39, 7-43 A output 7-49 angle 7-46 auto-dop trace 7-50, 7-51 baseline 7-45 CD processing 7-50 controls 7-45 disp format 7-48 dynamic range 7-47 filter 7-46 gain 7-45 gate size 7-47 invert 7-45 maps 7-48 scale 7-45 steer 7-4
z.one ultra and z.one ultra sp Systems upgrade 14-14 verify current revision 14-15 Sony UP-D23MD Digital (USB 2.
P4-1 6-24 P4-1c 6-24 P8-3TEE 6-24 P9-3ic 6-24 protective sheath 6-5 troubleshooting 15-9 trending for OB 9-31 triplex mode 7-51 troubleshooting 15-1, 15-2 DICOM access 15-9 function keys 15-9 general operational problems 15-9 imaging problems 15-2 ON/OFF 15-7 peripherals 15-8 peripherals ON/OFF 15-8 printer error messages 15-9 transducers 15-9 user presets 15-9 U U/D invert 7-24, 7-79 update 7-46 update option (duplex mode) 7-50 upper extremity venous calcs 9-43 USB memory sticks 2-15, 4-4 backup system 11
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